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BMJ Case Rep. 2010; 2010: bcr0620103129.
Published online 2010 October 28. 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

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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