Sudden Unexpected Death from Mallory-Weiss Syndrome: a Case Report

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Pranitan Rattanasalee


A sudden death without cause is considered an unnatural death by law, which requires a forensic pathologist to perform an autopsy to determine the cause of death. Upper gastrointestinal bleeding is a common cause of sudden death. Although it is less common than diseases of the circulatory system, it is of great importance in identifying the site of acute bleeding that can lead to death in a short time. Mallory-Weiss syndrome is a tear in the junction between the esophagus and stomach that causes large amounts of rapid bleeding in the upper gastrointestinal tract. Many cases were frequently found among those who experienced severe vomiting after alcohol consumption. This article reports a case that underwent an examination at the scene and an autopsy. The cause of death is massive blood loss in the upper gastrointestinal tract from the torn esophageal mucosa. The general physician should keep in mind that Mallory-Weiss syndrome can cause severe vomiting of fresh blood, leading to sudden and unexpected death.


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How to Cite
Rattanasalee, P. (2023). Sudden Unexpected Death from Mallory-Weiss Syndrome: a Case Report. Lampang Medical Journal, 44(1), 16–20. Retrieved from
Case Report


วิชาญ เปี้ยวนิ่ม, บรรณาธิการ. นิติเวชศาสตร์ตำราประกอบภาพสำหรับนักศึกษาแพทย์นิติพยาธิวิทยา (การชันสูตรพลิกศพ) และนิติเวชคลินิก. กรุงเทพฯ: โรงพิมพ์เดือนตุลา; 2561.

Hugar BS, Harish S,Girishchandra YP, Jayanth SH. Study of sudden gastrointestinal deaths: an a utopsy study. Med Sci Law. 2014;54(2):63–7.

Brown JD. Hiccups: an unappreciated cause of the Mallory-Weiss syndrome. Am J Med. 2015;128(12):e19-20.

Sugawa C, Benishek D, Walt AJ. Mallory-Weiss syndrome. A study of 224 patients. Am J Surg. 1983;145(1):30–3.

Kortas DY, Haas LS, Simpson WG, Nickl NJ, Gates LK. Mallory-Weiss tear: predisposing factors and predictors of a complicated course. Am J Gastroenterology. 2001;96(10):2863–5.

Graham DY, Schwartz JT. The spectrum of the Mallory-Weiss tear. Medicine (Baltimore). 1978;57(4):307–18

Graham DY, Davis RE. Acute upper GI hemorrhage. New observations ofan old problem. Am J Dig Dis. 1978;23(1):76-84.

Knauer CM. Mallory-Weiss syndrome: characteristics of 75 Mallory-Weiss lacerations in 528 patients with upper gastrointestinal hemorrhage. Gastroenterology. 1976;71(1):5–8.

Humphrey GM, Benbow EW, Tait WF. Sudden postoperative death caused by unheralded Mallory Weiss tears. J Clin Pathol. 1991;44(9):787–8.