Abstract
Laceration of the esophagus occurs most frequently at the gastroesophageal junction and is a common cause of GI bleeding. Referred to as Mallory-Weiss tears, this mucosal laceration usually arises as a result of vigorous coughing, vomiting, or rapid increases in intra-abdominal pressure. Deeper injury involving the muscularis propria can lead to perforation of the esophagus, also known as Boerhaave's syndrome.1 Spontaneous intramural esophageal rupture (SIER), or incomplete perforation, is a deeper injury than the Mallory-Weiss tear but it does not extend through the entire muscle layer as in Boerhaave's syndrome.
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