A Case of Mallory-Weiss Syndrome in Cerebellar Infarction Patient Who Persistently Vomited
Seol-Hee Baek, MD and Kyung-Hee Cho, MD, PhD
Department of Neurology, Korea University College of Medicine, Seoul, Korea
ABSTRACT
Background: Gastrointestinal (GI) bleeding was mostly related to antithrombotic medications. We report a case of Mallory-Weiss syndrome (MWS) in a patient with persistent vomiting due to cerebellar infarction. Case Report: A 77-year-old female visited emergency room due to vertigo, and vomiting. She had heart failure and atrial fibrillation, and had taken warfarin. Brain magnetic resonance image revealed multiple cerebral infarctions involving both cerebellar artery territories. On 4th day of admission, she felt a sense of dizziness, and vomited about 300 cc amount of blood. Emergency endoscopy revealed mucosal tearing with massive bleeding at gastro-esophageal junction area. Endoscopic variceal ligation was performed, and then GI bleeding was controlled. Conclusions: MWS can be a cause of GI bleeding in stroke patients who have uncontrolled vomiting.
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