A Case of Cameron Ulcer Associated with Massive Gastrointestinal Bleeding Treated by Angiographic Embolization

Kim, Dong Gyu; Jung, Sung Hee; Kim, Young Geun; Cho, Soung Hoon; Kim, Si Bum; Lee, Sung Hoon; Lee, Hyang Ie; Lee, Yun Jung; Yang, Hyeon Woong; Kim, Anna; Cha, Sang Woo

Case Report

Journal of the Korean Geriatrics Society 2008;12(1):42-46.
Published online March 31, 2008.

A Case of Cameron Ulcer Associated with Massive Gastrointestinal Bleeding Treated by Angiographic Embolization

Dong Gyu Kim, Sung Hee Jung, Young Geun Kim, Soung Hoon Cho, Si Bum Kim, Sung Hoon Lee, Hyang Ie Lee, Yun Jung Lee, Hyeon Woong Yang, Anna Kim, Sang Woo Cha

Department of Internal Medicine, Eulji University College of Medicine, Eulji University Hospital, Daejeon, Korea. jsh@eulji.ac.kr

혈관조영술 및 색전술로 성공적으로 지혈한, 대량출혈을 동반한 Cameron 궤양

Abstract

Gastric erosions or ulcers located at or near the level of the neck of a large diaphragmatic hernias are referred to as Cameron ulcers. Cameron ulcers are almost always incidental findings. In some patient, Cameron ulcers cause the dyspepsia, gastroesophageal reflux disease and iron deficiency anemia due to chronic gastrointestinal bleeding or even acute bleeding. We report the case of an acute upper gastrointestinal bleeding due to a Cameron ulcer in a patient with a history of aspirin and NSIADs use, which was successfully treated with angiographic coil embolization.

Key Words: Cameron ulcer, Hiatal hernia, Angiography, Hemorrhage