Symptomatic Anemia Due to Cameron Lesions: A Case Report.

Autor:	Girgis K; Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, Allentown, USA.; Morsani College of Medicine, University of South Florida, Tampa, USA., Gaetani S; Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, Allentown, USA.; Morsani College of Medicine, University of South Florida, Tampa, USA., O'Gurek DT; Department of Family Medicine, Lehigh Valley Health Network, Allentown, USA.; Morsani College of Medicine, University of South Florida, Tampa, USA., Greenberg MR; Department of Emergency and Hospital Medicine, Lehigh Valley Health Network, Allentown, USA.; Morsani College of Medicine, University of South Florida, Tampa, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Nov 06; Vol. 16 (11), pp. e73131. Date of Electronic Publication: 2024 Nov 06 (Print Publication: 2024).
DOI:	10.7759/cureus.73131
Abstrakt:	Cameron lesions are a unique and relatively rare cause of upper gastrointestinal bleeding that appears in the mucosa of the gastric body in the presence of a large hiatal hernia. These lesions can be a source of occult bleeding and subsequent chronic iron deficiency anemia (IDA) but may often be missed on initial endoscopy, requiring repeat studies to diagnose. Prompt treatment for Cameron lesions is necessary to avoid the high mortality rate associated with them. We describe the case of a 36-year-old male patient who presented to the emergency department (ED) with shortness of breath (SOB) and chronic IDA of an unknown cause in the presence of a large hiatal hernia. The endoscopy showed multiple linear erosions in the stomach consistent with Cameron lesions. The patient was discharged but returned to the ED two more times before ultimately having his hiatal hernia surgically repaired. Though rare, Cameron lesions may be considered in the differential for patients presenting with recurrent SOB or with chest or abdominal pain, combined with refractory anemia of an unknown cause. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Girgis et al.)
Databáze:	MEDLINE
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