DON E. BRINBERG, M.D.; JEFFREY STEIN, M.D.
To the editor: Mallory-Weiss syndrome is a recognized cause of upper gastrointestinal tract bleeding often associated with vomiting or prolonged retching. Mallory-Weiss lesions have been reported as complications of endoscopy, ipecac therapy, and chemotherapy (1-3). We describe an unusual cause of Mallory-Weiss tear not previously reported.
A 78-year-old woman in excellent health was found of general physical examination to have a rectal adenomatous polyp that was removed without complication. A subsequent barium enema revealed severe diverticular disease. She was scheduled for elective colonoscopy and given GoIytely (an electrolyte-polyethylene glycol solution; Braintree Laboratories, Braintree, Massachusetts) with instructions to drink 4 L
BRINBERG DE, STEIN J. Mallory-Weiss Tear with Colonic Lavage. Ann Intern Med. ;104:894–895. doi: 10.7326/0003-4819-104-6-894_2
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Published: Ann Intern Med. 1986;104(6):894-895.
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