case_images: PMC4709458_01
case_images: A large Mallory-Weiss tear and large fundal clot were observed during gastroscopy.
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case_images: PMC4709458_01_rjv17301.jpg
case_images: RJV173F1
case_images: A repeat gastroscopy the following day demonstrated the fundal clot plus a large MWT at gastroesophageal junction (GEJ) (Fig. 1).
case_images: During the last gastroscopy, a fundal gastric ulcer and a larger and deeper Mallory-Weiss tear were noted.
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case_images: PMC4709458_01_rjv17302.jpg
case_images: RJV173F2
case_images: Gastroscopy the following day showed a fundal gastric ulcer and the MWT, which was now larger and deeper (Fig. 2).
case_images: The gastric ulcer was excluded from the rest of the stomach through gastrostomy using 3/0 PDS suture.
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case_images: PMC4709458_01_rjv17303.jpg
case_images: RJV173F3
case_images: PDS (Fig. 3). Postoperatively, oral fluids were commenced on Day 12.