A pregnant female 28 years complains of hemate- mesis after an episode of vomiting, on upper GI endoscopy this is the appearance, what is the most common site of this condition?

Ans. (b) Cardia.Forceful vomiting may produce a mucosal tear at the cardia rather than a full perforation. In Mallory-Weiss syndrome, vigorous vomiting produces a vertical split in the gastric mucosa, immediately below the squamocolumnar junction. The condition presents with hematemesis. Usually, the bleeding is not severe, but endoscopic injection therapy may be required for occasional, cases.