A 29-year-old woman presents with hematemesis following repeated forceful vomiting during acute viral gastroenteritis. Vital signs: BP 118/76 mmHg, HR 92 bpm, RR 18/min, temp 37.8°C, SpO2 98% on room air. Laboratory studies show hemoglobin 11.2 g/dL. She denies chest pain and has no subcutaneous emphysema on examination. She takes no medications. Endoscopy is most likely to demonstrate which of the following findings?
- A)Necrotizing inflammation of the stomach wall
- B)Longitudinal mucosal lacerations near the gastroesophageal junctionGABARITO
- C)Dilated submucosal veins in the lower esophagus
- D)Metaplastic columnar epithelium with goblet cells
- E)Transmural rupture of the distal esophagus
Explicação
Mallory-Weiss syndrome consists of longitudinal mucosal tears at the gastroesophageal junction caused by forceful retching. Hematemesis after vomiting in a stable patient without signs of mediastinal perforation is typical. Ver explicação completa e trilha adaptativa →