PMC4531641_01
Esophageal manometry showed no peristalsis or contraction of the lower esophagus and poor relaxation of the lower esophageal sphincter.
kjim-18-4-238-7f1.jpg
PMC4531641_01_kjim-18-4-238-7f1.jpg
f1-kjim-18-4-238-7
Esophageal manometry revealed no peristalsis or contraction of the lower esophagus, and poor relaxation of the lower esophageal sphincter (Figure 1).
A long broad laceration with active bleeding at the esophagogastric junction (Mallory-Weiss tear).
kjim-18-4-238-7f2.jpg
PMC4531641_01_kjim-18-4-238-7f2.jpg
f2-kjim-18-4-238-7
After removing the blood clots, a Mallory-Weiss tear was discovered near the EG junction (Figure 2).