Jabak Suha, Hashash Jana G
Division of Gastroenterology, American University of Beirut, Beirut, Lebanon.
Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, PA.
ACG Case Rep J. 2020 Jan 17;7(1):e00308. doi: 10.14309/crj.0000000000000308. eCollection 2020 Jan.
Cameron ulcers usually present with chronic obscure gastrointestinal bleeding. Few cases of life-threatening bleeding have been reported. We hereby present an elderly man who presented with upper gastrointestinal bleeding associated with hemodynamic instability because of a large cratered Cameron ulcer. This ulcer contained a large pseudoaneurysm, and endoscopic therapy was deemed unsafe. The patient had a recurrence of his bleeding, necessitating intervention by our interventional radiology colleagues and then surgical intervention for definitive therapy. This case is important because it familiarizes gastroenterologists with the endoscopic appearance of huge Cameron ulcers and therapeutic options to control hemostasis. It also stresses the importance of a multidisciplinary team approach to ensure the best outcomes for patients.
卡梅伦溃疡通常表现为慢性隐匿性胃肠道出血。报道的危及生命的出血病例很少。我们在此介绍一位老年男性，他因巨大的火山口状卡梅伦溃疡出现上消化道出血并伴有血流动力学不稳定。这个溃疡包含一个大的假性动脉瘤，内镜治疗被认为不安全。患者出血复发，需要我们介入放射科同事进行干预，然后进行手术干预以进行确定性治疗。这个病例很重要，因为它让胃肠病学家熟悉巨大卡梅伦溃疡的内镜表现以及控制止血的治疗选择。它还强调了多学科团队方法对于确保患者获得最佳治疗效果的重要性。
