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Distinctive aspects of peptic ulcer disease, Dieulafoy's lesion, and Mallory-Weiss syndrome in patients with advanced alcoholic liver disease or cirrhosis.
If the lesion includes all the layers of the esophagus, it is called Boerhaave's syndrome, whereas if it only includes the mucosal layer, it is called the Mallory-Weiss syndrome (7, 8).
The most common location (90%) of perforation is 1/3 distal of esophagus which is weaker than other parts [3,4] and in contrast with Mallory-Weiss syndrome in which the perforation is limited in mucosal layer, this syndrome is transumral and in 80% of cases, is associated with left pleura [5].