Abstract
A patient with Mallory-Weiss syndrome, 20-year-old male, presented with a chief complaint of hematemesis after alcohol ingestion followed by vomiting. An endoscopic examination revealed a mucosal tear on the posterior wall of the gastric cardia. A patient with Boerhaave's syndrome, 57-year-old male was hospitalized because of chest pain immediately after vomiting. A chest x-ray showed left pneumothorax and pleural effusion. Endoscopic and gastrograf in swallow studies demonstrated an esophageal ruputure on the left wall just above the esophagogastric junction. Emergent surgery with a diagnosis of spontaneous esophageal rupture was performed but the patient died of sepsis and G. I. bleeding. A patient with acute longitudinal linear ulcer of the stomach, 77-year-old male who was treated with reserpine for hypertension and analgegic for lumbago, entered the hospital because of tarry stools. He did not drink alcohol and denied any causes increasing abdom-inal pressure. Endoscopic examination revealed a longitudinal linear ulcer on the posterior wall of the gastric cardia. It seems to be important for making a diagnosis in such cases to take a detailed history and emergent endoscopic examination is imperative.
