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Case Report
Life-threatening upper gastrointestinal hemorrhage from a Cameron ulcer
1 Surgical Trainee, Tamworth Rural Referral Hospital, Tamworth, NSW, Australia
2 Consultant General Surgeon, Tamworth Rural Referral Hospital, Tamworth, NSW, Australia
Address correspondence to:
Alen Brodaric
Royal Prince Alfred Hospital, 50 Missenden Road, Camperdown, NSW 2050,
Australia
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Article ID: 100128Z12AB2024
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How to cite this article
Brodaric A, Srinivasan R. Life-threatening upper gastrointestinal hemorrhage from a Cameron ulcer. J Case Rep Images Surg 2024;10(1):1–5.ABSTRACT
Introduction: Acute upper gastrointestinal bleeding can be life-threatening; however, Cameron lesions are an uncommon etiology. These lesions should be suspected with a previous history or endoscopic evidence of hiatus hernia.
Case Report: A male in his 60s presented to the emergency department with hematemesis and melena for two days. He had no prior medical, surgical, or endoscopic history and took no regular medications. He was resuscitated with packed red blood cell transfusion and treated with proton pump inhibitor infusion then transferred to operating theaters for endoscopic hemostasis. Cardiac arrest occurred after anesthetic induction and airway intubation, return of spontaneous circulation was achieved after cardiopulmonary resuscitation and further blood transfusion. At endoscopy a Cameron ulcer was noted in the hiatus hernia with overlying blood clot with no active hemorrhage, treated with Hemospray®.
Conclusion: Patients presenting with acute upper gastrointestinal hemorrhage and shock need urgent upper gastrointestinal (UGI) endoscopy. Topical hemostatic agents are successful in controlling bleeding when challenging anatomy precludes use of banding or clip application.
Keywords: Cameron lesion, Emergency endoscopy, Upper gastrointestinal hemorrhage
SUPPORTING INFORMATION
Author Contributions
Alen Brodaric - Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published
Rajkumar Srinivasan - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Alen Maximillian Brodaric et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
