Pathophysiology
1. Severe Retching results in tear in esophageal mucosa
2. Lesion occurs near esophagogastric junction
Symptoms
1. Hematemesis follows episode of Retching or Vomiting
Signs
1. Melena
2. Shock
Differential Diagnosis
1. Peptic Ulcer Disease
2. Esophageal Perforation
3. Esophagitis
4. Esophageal Varices
Diagnosis
1. Endoscopy (EGD)
  1. Mucosal tear directly visualized
Management
1. Generally heals spontaneously within several days
2. Endoscopy for cauterization if needed
3. Surgery rarely required

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 2/6/2012.

This is one of 5663 pages in the Family Practice Notebook

Family Practice Notebook

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