Esophageal Laceration (“pre-Boerhaave’s Syndrome”) Treated with “Short-Stem” Hemoclips

By Hiral Patel, MD and Klaus Mönkemüller, MD, PhD, FASGE, FJGES

Virginia Tech Carilion School of Medicine, Virginia, USA

80-year-old patient with history of recent myocardial infarction, coronary stent placement and dual antiplatelet therapy presented with melena, hypotension and drop in hemoglobin from 14 gr/dl to 9 gr/dl. Emergent EGD showed a distal peptic stricture of the esophagus, which did not impede the passage of the scope (Fig. 1A and Fig. 1B). On retroflexion there was not Mallory-Weiss tear (Fig. 1C). Inspection of the distal esophagus revealed a 4 cm long laceration with adherent blood clots and visible vessel (Fig. 1D and Fig. 1E).