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Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
 
BMJ Case Rep. 2010; 2010: bcr0620103129.
Published online Oct 28, 2010. doi:  10.1136/bcr.06.2010.3129
PMCID: PMC3029377
Reminder of important clinical lesson
Cameron lesions: an often overlooked cause of iron deficiency anaemia in patients with large hiatal hernias
Nina Kimer, Palle Nordblad Schmidt, and Aleksander Krag
Department of Gastroenterology, Copenhagen University Hospital, Hvidovre, Denmark
Correspondence to Aleksander Krag, aleksanderkrag/at/hotmail.com
Abstract
Cameron lesions are linear gastric ulcers or erosions on the mucosal folds at the diaphragmatic impression in patients with a large hiatal hernia. The lesions are associated with occult bleeding and development of chronic iron deficiency anaemia, but are often overlooked during routine endoscopy. We present two patients with known hiatal hernias in who repeated endoscopic examinations had not been able to identify a source of bleeding. In both cases, typical Cameron lesions were found either by repeat gastroscopy or by capsule endoscopy. Treatment with high-dose proton pump inhibitor and iron supplement was initiated.
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