Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 16, 2015; 3(3): 327-329
Published online Mar 16, 2015. doi: 10.12998/wjcc.v3.i3.327
Rare case of upper gastrointestinal bleeding in achalasia
Wei-Wei Zhang, Xiang-Jun Xie, Chang-Xin Geng, Shu-Hui Zhan
Wei-Wei Zhang, Xiang-Jun Xie, Chang-Xin Geng, Shu-Hui Zhan, Department of Gastroenterology, Municipal Hospital of Qingdao, Qingdao 266000, Shandong Province, China
Author contributions: Xie XJ and Zhan SH supervised the patient’s diagnosis and treatment; Zhang WW wrote the manuscript; Geng CX revised the manuscript.
Supported by A grant from the Qingdao Technology Fund.
Ethics approval: The study was reviewed and approved by the Municipal Hospital of Qingdao Institutional Review Board.
Informed consent: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Wei-Wei Zhang, MD, Attending Doctor, Department of Gastroenterology, Municipal Hospital of Qingdao, Jiao-zhou Road, Qingdao 266000, Shandong Province, China. zhangwwapple@163.com
Telephone: +86-532-88905629 Fax: +86-532-88905630
Received: August 20, 2014
Peer-review started: August 21, 2014
First decision: November 18, 2014
Revised: November 29, 2014
Accepted: January 9, 2015
Article in press: January 15, 2015
Published online: March 16, 2015
Processing time: 204 Days and 17.6 Hours
Core Tip

Core tip: Achalasia is the prototypic esophageal motility disorder that leaves patients at risk for various complications. This is a rare report of long-term achalasia associated with esophageal stone and ulcer formation leading to upper gastrointestinal bleeding caused by Mallory-Weiss syndrome. This paper highlights the importance of avoiding excess tannin ingestion for patients with achalasia to prevent the development of complications such as bleeding and rupture.