首页|Cameron ulcers: An atypical source for a massive upper gastrointestinal bleed

Cameron ulcers: An atypical source for a massive upper gastrointestinal bleed

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Cameron lesions represent linear gastric erosions and ulcers on the crests of mucosal folds in the distal neck of a hiatal hernia (HH).Such lesions may be found in upto 50% of endoscopies performed for another indication.Though typically asymptomatic,these may rarely present as acute,severe upper gastrointestinal bleed (GIB).The aim is to report a case of a non-anemic 87-year-old female with history of HH and atrial fibrillation who presented with hematemesis and melena resulting in hypovolemic shock.Repeat esophagogastroduodenoscopy was required to identify multiple Cameron ulcers as the source.Endoscopy in a patient with HH should involve meticulous visualization of hernia neck and surrounding mucosa.Cameron ulcers should be considered in all patients with severe,acute GIB and especially in those with known HH with or without chronic anemia.

Cameron lesionUpper gastrointestinal bleedingShockHiatal hernia

Samir Kapadia、Sophia Jagroop、Atul Kumar

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Department of Medicine, Stony Book University School of Medicine, Stony Brook, NY 11794, United States

Gastroenterology and Hepatology, Northport VA Medical Center, Northport, NY 11768,United States

2012

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子:1.001
ISSN:1007-9327
年,卷(期):2012.18(35)
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