$re = '/(?s)Block (\d+) start.+Block \1 end/m';
$str = 'Block 1 start
Line 1 in Block 1
Line 2 in Block 1
Block 1 end
Block 2 start
Line 1 in Block 2
Block 3 start
Line 1 in Block 3
Block 3 end';
preg_match_all($re, $str, $matches, PREG_SET_ORDER, 0);
// Print the entire match result
var_dump($matches);
Please keep in mind that these code samples are automatically generated and are not guaranteed to work. If you find any syntax errors, feel free to submit a bug report. For a full regex reference for PHP, please visit: http://php.net/manual/en/ref.pcre.php