Mehershahi Shehriyar, Jog Abhishrut, Ronderos Diana M, Shaikh Danial, Ihimoyan Ariyo
Gastroenterology, BronxCare Health System, Bronx, USA.
Internal Medicine, BronxCare Health System, Bronx, USA.
Cureus. 2020 Apr 12;12(4):e7644. doi: 10.7759/cureus.7644.
Cameron lesion is an uncommon cause of overt upper gastrointestinal bleed (GI bleed). Though hiatal hernia is a well-known entity, Cameron lesions that may occur in them are usually missed during upper endoscopy. Patient with Cameron lesions usually presents as chronic iron deficiency anemia, rarely as acute GI bleed. Multiple other risk factors such as non-steroidal anti-inflammatory drug use, alcohol consumption, gastro-esophageal reflux disease (GERD) may be present concomitantly which makes initial differential diagnosis of Cameron lesions more difficult as seen in our case.
卡梅伦病变是明显的上消化道出血（GI出血）的罕见原因。虽然食管裂孔疝是一个众所周知的病症，但其中可能出现的卡梅伦病变在上消化道内镜检查时通常会被漏诊。患有卡梅伦病变的患者通常表现为慢性缺铁性贫血，很少表现为急性GI出血。可能同时存在多种其他风险因素，如使用非甾体抗炎药、饮酒、胃食管反流病（GERD），这使得卡梅伦病变的初步鉴别诊断更加困难，如我们病例中所见。
