Patients with Mallory-Weiss tears present with hematemesis and/or melena, and often with either epigastric or back pain. Management involves initiation of IV proton pump inhibitors, hemodynamic stabilization (either IV fluids or red blood cell transfusions), and endoscopy, with timing dependent on hemodynamic compromise.
Pediatric Patient Considerations:
While uncommon in the pediatric population, Mallory-Weiss syndrome can occur in children and may indicate an underlying bleeding condition.
K22.6 – Gastro-esophageal laceration-hemorrhage syndrome
35265002 – Mallory-Weiss Syndrome
Differential Diagnosis & Pitfalls
Drug Reaction Data