| Cameron ulcers: an atypical source for a massive upper gastrointestinal bleed. | |
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MedLine Citation:
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PMID: 23002369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Samir Kapadia; Sophia Jagroop; Atul Kumar |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 18 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-09-24 Completed Date: 2013-02-13 Revised Date: 2013-04-02 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 4959-61 Citation Subset: IM |
Affiliation:
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Department of Medicine, Stony Book University School of Medicine, Stony Brook, NY 11794, United States. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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