Surgery Today

, Volume 32, Issue 6, pp 519–522

Esophageal Intramural Pseudodiverticulosis with Mallory-Weiss Syndrome: Report of a Case

Authors

  • Naoto Yamamoto
    •  Department of Surgery, Morimachi Public Hospital, 391-1 Kusagaya, Mori-machi, Shizuoka 437-0214, Japan
  • Masaki Nakamura
    •  Department of Surgery, Morimachi Public Hospital, 391-1 Kusagaya, Mori-machi, Shizuoka 437-0214, Japan
  • Shougo Tachibana
    •  Department of Surgery, Morimachi Public Hospital, 391-1 Kusagaya, Mori-machi, Shizuoka 437-0214, Japan
  • Hiroyuki Konno
    •  Department of Surgery II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka 431-3192, Japan
  • Satoshi Nakamura
    •  Department of Surgery II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka 431-3192, Japan
  • Nobuhiko Nishino
    •  Department of Surgery, Maruyama Hospital, 681 Sukenobu-cho, Hamamatsu, Shizuoka 430-0903, Japan
Article

DOI: 10.1007/s005950200089

Cite this article as:
Yamamoto, N., Nakamura, M., Tachibana, S. et al. Surg Today (2002) 32: 519. doi:10.1007/s005950200089

Abstract

A 62-year-old man with a chief complaint of coughing up blood was revealed to have Mallory-Weiss syndrome with arterial bleeding by gastrointestinal endoscopy at the esophagogastric junction, and two teardrop-shaped fissures were found longitudinally extending into the muscle layer. Endoscopic treatment with ethanol injection and the administration of a thrombin solution spray failed to control the arterial bleeding. Hemostasis was finally archived by suturing the fissures under an open laparotomy. A postoperative barium esophagogram showed multiple flask-shaped outpouchings in the thoracic esophagus, and a diagnosis of esophageal intramural pseudodiverticulosis (EIPD) was thus made. EIPD is usually accompained with esophageal strictures but esophageal bleeding is rare.

Key words Esophageal intramural pseudodiverticulosisMallory-Weiss syndromeBleedingEmergency operation
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Copyright information

© Springer-Verlag 2002