철 결핍성 빈혈을 주소로 내원한 Cameron 궤양 1예

초록

Patients suffering with sliding hiatal hernia may develop Cameron erosions or ulcers. Mechanical trauma, ischemia, and peptic injury have been proposed as the etiology of these lesions. These lesions can be associated with iron deficiency anemia and GI bleeding. An 83-year-old woman was admitted with iron deficiency anemia and intermittent melena. Her past history consisted of pneumonia and pulmonary tuberculosis. She had no current medication history. The laboratory findings were Hb 6.8 g/dL, MCV 75 fL and MCH 23.6 pg. Upon esophagogastroduodenoscopy (EGD), a huge diaphragmatic hernia was noted and multiple ulcers were located at the neck of the hernia. Esophagogram showed a huge diaphragmatic hernia. The bleeding ceased and the anemia was resolved after proton pump inhibitor treatment. (Korean J Gastrointest Endosc 2006;32:33-36) Patients suffering with sliding hiatal hernia may develop Cameron erosions or ulcers. Mechanical trauma, ischemia, and peptic injury have been proposed as the etiology of these lesions. These lesions can be associated with iron deficiency anemia and GI bleeding. An 83-year-old woman was admitted with iron deficiency anemia and intermittent melena. Her past history consisted of pneumonia and pulmonary tuberculosis. She had no current medication history. The laboratory findings were Hb 6.8 g/dL, MCV 75 fL and MCH 23.6 pg. Upon esophagogastroduodenoscopy (EGD), a huge diaphragmatic hernia was noted and multiple ulcers were located at the neck of the hernia. Esophagogram showed a huge diaphragmatic hernia. The bleeding ceased and the anemia was resolved after proton pump inhibitor treatment.

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