The Korean Journal of Medicine

  • 제82권5호
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  • Pages.585-588
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  • 2012
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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흑색변을 주 증상으로 내원한 Cameron 궤양

A Case of Cameron Ulcer Presenting with Melena

  • 이헌남 (가천의과학대학교 길병원 내과학교실) ;
  • 정준원 (가천의과학대학교 길병원 내과학교실) ;
  • 김윤재 (가천의과학대학교 길병원 내과학교실) ;
  • 김의주 (가천의과학대학교 길병원 내과학교실) ;
  • 박성근 (가천의과학대학교 길병원 내과학교실) ;
  • 오경용 (가천의과학대학교 길병원 내과학교실) ;
  • 이영준 (가천의과학대학교 길병원 내과학교실)
  • Lee, Heon-Nam (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Chung, Jun-Won (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Yoon-Jae (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Eui-Joo (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Park, Sung-Keun (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Oh, Kyong-Yong (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science) ;
  • Lee, Young-Jun (Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science)
  • 발행 : 2012.05.01
⟨ 이전 논문 다음 논문 ⟩

초록

Cameron 궤양은 틈새탈장이 있는 환자에서 탈장 내부의 위점막에 발생하는 미란이나 궤양으로 정의된다. 무증상인 경우가 많지만 일부의 환자에서 철 결핍성 빈혈, 급성 및 만성 위장관 출혈이 나타날 수 있어 임상적으로 중요하다. 저자들은 흑색변으로 내원한 환자에서 철 결핍성 빈혈을 동반한 Cameron 궤양을 진단하였고, 내과적 치료 후 병변의 호전을 확인하였기에 이를 보고하는 바이다.

Cameron ulcers are gastric ulcers or erosions located at mucosal folds in patients with large hiatal hernias. Mechanical trauma, gastric acid injury, or ischemia can cause their formation. Cameron ulcers are frequently seen as incidental findings during upper gastrointestinal endoscopy. About half of patients with these lesions are asymptomatic. However, Cameron ulcers are related to iron deficiency anemia and gastrointestinal bleeding in some cases. Here, we report a case of Cameron ulcers presenting with melena, which was successfully treated with proton pump inhibitors and iron supplementation.

키워드

참고문헌

  1. Cameron AJ, Higgins JA. Linear gastric erosion: a lesion associated with large diaphragmatic hernia and chronic blood loss anemia. Gastroenterology 1986;91:338-342. https://doi.org/10.1016/0016-5085(86)90566-4
  2. Weston AP. Hiatal hernia with cameron ulcers and erosions. Gastrointest Endosc Clin N Am 1996;6:671-679.
  3. Johnson DA, Ruffin WK. Hiatal hernia. Gastrointest Endosc Clin N Am 1996;6:641-666.
  4. Nguyen N, Tam W, Kimber R, Roberts-Thomson IC. Gastrointestinal: Cameron's erosions. J Gastroenterol Hepatol 2002;17:343. https://doi.org/10.1046/j.1440-1746.2002.02760.x
  5. Lin CC, Chen TH, Ho WC, Chen TY. Endoscopic treatment of a Cameron lesion presenting as life-threatening gastrointestinal hemorrhage. J Clin Gastroenterol 2001;33:423-424. https://doi.org/10.1097/00004836-200111000-00018
  6. Kim DG, Yang HW, Jung SH, et al. A case of Cameron ulcer associated with massive gastrointestinal bleeding treated by angiographic embolization. J Korean Geriatr Soc 2008;12:42-46.
  7. Bornstein JD, Brazer SR. Cameron erosions. Gastrointest Endosc 1999;49(4 Pt 1):514. https://doi.org/10.1016/S0016-5107(99)70053-2
  8. Maganty K, Smith RL. Cameron lesions: unusual cause of gastrointestinal bleeding and anemia. Digestion 2008;77:214-217. https://doi.org/10.1159/000144281
  9. Lin S, Rockey DC. Obscure gastrointestinal bleeding. Gastroenterol Clin North Am 2005;34:679-698. https://doi.org/10.1016/j.gtc.2005.08.005
  10. Moskovitz M, Fadden R, Min T, Jansma D, Gavaler J. Large hiatal hernias, anemia, and linear gastric erosion: studies of etiology and medical therapy. Am J Gastroenterol 1992;87:622-626.
  11. Morrissey JF. You see what you look for. Gastroenterology 1986;91:481-482. https://doi.org/10.1016/0016-5085(86)90588-3
  12. Liao K, Ramirez J, Carryl S, Shaftan GW. A new approach in the management of incarcerated hernia: emergency laparoscopic hernia repair. Surg Endosc 1997;11:944-945. https://doi.org/10.1007/s004649900494
  13. Mitiek MO, Andrade RS. Giant hiatal hernia. Ann Thorac Surg 2010;89:S2168-S2173. https://doi.org/10.1016/j.athoracsur.2010.03.022
  14. Dunn DB, Quick G. Incarcerated paraesophageal hernia. Am J Emerg Med 1990;8:36-39. https://doi.org/10.1016/0735-6757(90)90292-8
  15. Moschos J, Pilpilidis I, Kadis S, et al. Cameron lesion and its laparoscopic management. Indian J Gastroenterol 2005;24:163.