title: Cameron ulcers: an atypical source for a massive upper gastrointestinal bleed.
abstract: 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.affiliation: Department of Medicine, Stony Book University School of Medicine, Stony Brook, NY 11794, United States.
authors.forename: Samir
authors.initials: S
authors.lastname: Kapadia
authors.forename: Sophia
authors.initials: S
authors.lastname: Jagroop
authors.forename: Atul
authors.initials: A
authors.lastname: Kumar
mesh_terms: D000369:Aged, 80 and over; D016145:Endoscopy, Digestive System; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology; D006396:Hematemesis / Q000209:etiology; D006551:Hernia, Hiatal / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008551:Melena / Q000209:etiology; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology* / Q000628:therapy; D013276:Stomach Ulcer / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy