A Case of Mallory-Weiss Syndrome Successfuly Treated with O-Ring

Abstract

On rare occasions hemorrhagic shock develops in patients with Mallory-Weiss syndrome. We encountered a patient with Mallory-Weiss syndrome presenting with hemorrhagic shock. Hemostasis was successfully achieved with O-rings.
The patient was a 68-year-old male who admitted our department with hematemesis after drinking a bottle of beer. When he arrived this hospital, his blood pressure was 70/40mmHg and he had a soft pulse. He had severe anemia. Emergency endoscopy following gastric lavage revealed three lacerations in the esophagogastric junction, two on the lesser curvature and one on the greater curvature. Ligation therapy with O-ring was perfomed and hemostasis was achieved completely.
Although ulcers remained, hemorrhage did not recur to the patient. The patient was discharged without further incident. O-rings are widely used in the treatment of esophagogastric varices. We reported a case of Mallory-Weiss syndrome successfuly treated with O-ring.