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Mallory-Weiss Syndrome Triggered by Undigested Food Residues in a 90-Year-Old Male: An Unusual Etiology

Year: 2025

Type: article

Abstract: Mallory-Weiss syndrome is an uncommon cause of upper gastrointestinal bleeding, typically resulting from mucosal lacerations induced by retching, vomiting, or coughing. Although well described in middle-aged individuals, its occurrence in elderly patients is unusual and may present atypically. We report the case of a 90-year-old male who developed hematemesis following vomiting undigested food residues, without preceding forceful emesis. Endoscopy revealed a Mallory-Weiss tear with active bleeding, successfully treated with hemoclips, and an incidental duodenal polyp. This case underscores the role of non-classical triggers in elderly patients and highlights the importance of prompt endoscopic evaluation and therapy.

Source: Cureus

DOI: 10.7759/cureus.94114

Authors: Shashwat Arora, Ishita Singh, Waqas Alauddin, Prabhnoor Monga, Shreyash Yadav

Institutions: Lala Lajpat Rai Memorial Medical College, Jamia Hamdard

Language: English

Topic: Gastrointestinal Bleeding Diagnosis and Treatment

Subfield: Gastroenterology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414966810