title: Asymptomatic Free Air Caused by Mallory-Weiss Tears during Endoscopy.
abstract: An 80-year-old woman was referred to our hospital for the treatment of advanced gastric cancer which extended from the antrum to the bulbus of the duodenum. Although the patient did not struggle or retch during endoscopy, multiple mucosal lacerations were observed in the proximal stomach by Mallory-Weiss tears. No evidence of perforation was identified at the sites. The day after endoscopy, computed tomography revealed free air close to the gastric cardia, but the patient did not complain of any symptoms; she was able to consume a normal diet and did not require any treatment.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Japan.
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Kono
authors.forename: Jiro
authors.initials: J
authors.lastname: Watari
authors.forename: Ken
authors.initials: K
authors.lastname: Hara
authors.forename: Hitomi
authors.initials: H
authors.lastname: Ikeda
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Tomita
authors.forename: Tadayuki
authors.initials: T
authors.lastname: Oshima
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Fukui
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Sasako
authors.forename: Hiroto
authors.initials: H
authors.lastname: Miwa
mesh_terms: D000369:Aged, 80 and over; D004386:Duodenum; D004724:Endoscopy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D022125:Lacerations; D008309:Mallory-Weiss Syndrome / Q000175:diagnosis* / Q000209:etiology; D014057:Tomography, X-Ray Computed / Q000009:adverse effects; D014839:Vomiting / Q000209:etiology