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  • Title: Esophageal intramural pseudodiverticulosis with Mallory-Weiss syndrome: report of a case.
    Author: Yamamoto N, Nakamura M, Tachibana S, Konno H, Nakamura S, Nishino N.
    Journal: Surg Today; 2002; 32(6):519-22. PubMed ID: 12107778.
    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.
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