[Spontaneous extensive esophageal tear with upper digestive haemorrhage treated by endoclip application].

A 61-years-old male presented with emesis after some retching episodes. He had liver cirrhosis but no previous bleeding. An upper endoscopy revealed an extensive 10 cm tear involving the mucosa and submucosa layers of the distal esophagus sparing a 2 cm long segment proximal to the Z-line (Fig. 1). The laceration presented a slowly oozing haemorrhage that was stopped with the injection of 6 cc of epinephrine 1:10,000 and application of 17 endoclips to close the laceration. Recurrent bleeding 8 days later was controlled with further application of 4 endoclips. No further haemorrhagic recurrence occurred and an endoscopy procedure was repeated at week 6 (Fig. 2) and week 24 when no lesion was seen. Spontaneous extensive esophageal tear with upper digestive haemorrhage treated by endoclip application