Mallory-Weiss syndrome in two children

Gastrointestinal Hemorrhage Due to Mallory‐Weiss Syndrome in an Infant

“…Three of four previously reported cases in children had a prodrome of fever, nonbloody emesis, or upper respiratory tract symptoms. In the other, there was no description of the preceding illness (2,3). This case is unusual in at least two respects: (a) the age of the patient, 3 weeks, documents that this syndrome can occur in infancy; and (b) the presumed etiology of the tear was recurrent hiccups, in contrast to the more typical prodrome of recurrent emesis.…”

Vomiting‐Induced Hematemesis in Children: Mallory–Weiss Tear or Prolapse Gastropathy?

“…Mallory–Weiss tear is often cited as the cause of hematemesis in children, although it is a rarely reported condition in this age group. Since the original description by Mallory and Weiss in 1929 (29), less than 25 cases have been reported in children (1–8). This condition may be underreported for one or more reasons.…”

“…In children its cause is somewhat age related. Hematemesis after forceful vomiting in children is often attributed to a Mallory–Weiss tear (MWT); however, this is an uncommon finding in children, with fewer than 25 cases reported (1–8). A second postemetic condition leading to hematemesis is prolapse gastropathy syndrome (PGS), characterized by gastric mucosal hemorrhage, typically limited to a small area in the proximal stomach.…”