Cameron lesions: an often overlooked cause of iron deficiency anaemia in patients with large hiatal hernias.
Cameron lesions are linear gastric ulcers or erosions on the mucosal folds at the diaphragmatic impression in patients with a large hiatal hernia. The lesions are associated with occult bleeding and development of chronic iron deficiency anaemia, but are often overlooked during routine endoscopy. We present two patients with known hiatal hernias in who repeated endoscopic examinations had not been able to identify a source of bleeding. In both cases, typical Cameron lesions were found either by repeat gastroscopy or by capsule endoscopy. Treatment with high-dose proton pump inhibitor and iron supplement was initiated.
Department of Gastroenterology, Copenhagen University Hospital, Hvidovre, Denmark.
Nina
N
Kimer
Palle Nordblad
PN
Schmidt
Aleksander
A
Krag
D000368:Aged; D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D053704:Capsule Endoscopy; D005260:Female; D005773:Gastroscopy; D006551:Hernia, Hiatal / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000150:complications / Q000175:diagnosis*; D013276:Stomach Ulcer / Q000150:complications / Q000175:diagnosis*