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Bleeding oesophageal tear – an uncommon presentation (1.º Classificado - Fotografia)
Rui Mendo, Pedro Figueiredo, Cristina Chagas
Centro Hospitalar Lisboa Ocidental - Hospital Egas Moniz
A 57-year-old male presented to the emergency department with a history of hematemesis following self-induced vomiting to relieve food impaction. He underwent an upper endoscopy that revealed an actively bleeding mid-oesophageal longitudinal laceration with approximately 4 cm. Additionally, trachealization of the oesophagus was seen. Hemostasis was achieved with placement of 10 hemoclips, allowing for the closure of the bleeding lesion. The patient remained asymptomatic, with no evidence of recurrence on follow-up. Biopsies taken were negative for eosinophilic esophagitis.
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