Mallory-Weiss syndrome (MWS) is one of the common causes of acute upper gastrointestinal (GI) bleeding, characterized by the presence of longitudinal superficial mucosal lacerations (Mallory-Weiss tears). These tears occur primarily at the gastroesophageal junction; they may extend proximally to involve the lower or even mid esophagus and at times extend distally to involve the proximal portion of the stomach. Though Albers first reported lower esophageal ulceration in 1833, Kenneth Mallory and Soma Weiss in 1929, more accurately described this condition as lower esophageal lacerations (not ulcerations) happening to patients with repetitive forceful retching and vomiting following excessive alcohol intake.  The diagnosis of MWS is usually confirmed with endoscopy. There is only a split of the mucosa near the GE junction. The average tear is about 2-4 cm in length and most patients have only one tear. the tear is just beneath the GE junction on the lesser curvature.