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Mallory-Weiss tear with exposed artery.
A 44-year-old female was admitted with a fresh hematemesis and was found to be tachycardic with a heart rate of 120/min. She had been suffering from diarrhea and vomiting thought to be due to gastroenteritis. Endoscopy showed a long Mallory-Weiss tear with an exposed artery. Although bleeding from tears may be trivial, they can occasionally precipitate arterial hemorrhage.
Ken Matthewson, Newcastle upon Tyne, UK

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