지속적인 구토증상을 보인 소뇌경색 환자에서 발생한 말로리-바이스 증후군

초록

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.

키워드