Atypical Appearance of Cameron Lesion Casting Diagnostic Doubt
Journal
Biomedical Journal of Scientific & Technical Research (BJSTR)
Date Issued
2022-07-15
Author(s)
Nikolovska Trpchevska Emilija
Karadzova Dzambaz Ana
DOI
10.26717/BJSTR.2022.45.007219
Abstract
The term Cameron lesions denotes the presence of linear erosions or ulcer on
the crests of gastric folds in the distal neck of hiatal hernia. They are well described
distinct clinical entity more often asymptomatic and associated with chronic anemia,
while less often represent the source of profuse upper gastrointestinal bleeding. Not
infrequently Cameron lesions are overlooked at endoscopy due to technical and anatomical difficulties. They can also be the subject of diagnostic doubt when chronicity
of mechanical and ischemic trauma leads to deep callous and fibrotic ulcer that resembles neoplastic lesion. We describe a patient with overt gastrointestinal hemorrhage
in whom Cameron lesion was misperceived as neoplastic lesion resulting in extensive
and prolonged diagnostic evaluation. Endoscopists and gastroenterologist should be
well aware of this condition and have it in consideration in all patients with acute gastrointestinal bleeding, particularly in those with hiatal hernia with or without chronic
anemia
the crests of gastric folds in the distal neck of hiatal hernia. They are well described
distinct clinical entity more often asymptomatic and associated with chronic anemia,
while less often represent the source of profuse upper gastrointestinal bleeding. Not
infrequently Cameron lesions are overlooked at endoscopy due to technical and anatomical difficulties. They can also be the subject of diagnostic doubt when chronicity
of mechanical and ischemic trauma leads to deep callous and fibrotic ulcer that resembles neoplastic lesion. We describe a patient with overt gastrointestinal hemorrhage
in whom Cameron lesion was misperceived as neoplastic lesion resulting in extensive
and prolonged diagnostic evaluation. Endoscopists and gastroenterologist should be
well aware of this condition and have it in consideration in all patients with acute gastrointestinal bleeding, particularly in those with hiatal hernia with or without chronic
anemia
File(s)![Thumbnail Image]()
Loading...
Name
BJSTR.MS.ID.007219 Atypical Appearance of Cameron Lesion Casting.pdf
Size
908.72 KB
Format
Adobe PDF
Checksum
(MD5):c397a36a2b9a31240dfbb3180a4d1f61