Document Detail


Cameron ulcers: an atypical source for a massive upper gastrointestinal bleed.
MedLine Citation:
PMID:  23002369     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Samir Kapadia; Sophia Jagroop; Atul Kumar
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  18     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-24     Completed Date:  2013-02-13     Revised Date:  2014-05-20    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  4959-61     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Endoscopy, Digestive System
Female
Gastric Mucosa / pathology
Hematemesis / etiology
Hernia, Hiatal / complications*,  diagnosis,  therapy
Humans
Melena / etiology
Peptic Ulcer Hemorrhage / etiology*,  therapy
Stomach Ulcer / diagnosis,  etiology*,  therapy
Comments/Corrections

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