Abstract
A case of idiopathic rupture of the esophagus complicated with Mallory-Weirs syndrome was reported. Fifty nine year-old male who had repeated vomiting after drinking bevarages for several days, refered to our hospital with complaints of hematemesis, tarry stool and severe back pain. Emergency endoscopy on admission revealed an ulcerated lesion with white coating in the lower esophagus and Mallory-Weirs tears in the esophago-gastric junction of the rest stomach. On 3 rd admission day, sharp, spindle-shaped and deep tear about 1.5 cm in length was found in the left side of the lower esophagus, endoscopically. Esophagogram showed leakage of radiopaque from the esophagus. He was treated conservatively with intravenous hyperalimentation and antibiotics. On 22 nd day, endoscopy showed only scar of the esophagus. He discharged in good condition on 30 th day.