Hémorragie gastro-intestinale sévère sur ulcères de Cameron chez un patient alcoolique : à propos d’un cas

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• 作者：F. Ankouane ; M. Kowo ; F. Ntoné ; B. Jeméa ; O. Njoya…
• 关键词：Hémorragie gastro ; intestinale ; Ulcères deCameron ; Lésions de Cameron ; Hernie hiatale ; Chochypovolémique ; Gastrointestinal hemorrhage ; Cameron ulcers ·Cameron lesions ; Hiatal hernia ; Hypovolemic shock
• 刊名：Acta Endoscopica
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：45
• 期：4
• 页码：156-160
• 全文大小：2,858 KB
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• 作者单位：F. Ankouane (1) (2)
  M. Kowo (1) (2)
  F. Ntoné (1) (2)
  B. Jeméa (1) (2)
  O. Njoya (1) (2)
  E. C. Ndjitoyap Ndam (1) (2)
  
  1. Faculté de médecine, Université de Yaoundé 1, Yaoundé-Melen, Cameroun
  2. Centre hospitalier et universitaire de Yaoundé, Yaoundé-Melen, Cameroun
  
• 刊物主题：Gastroenterology; Interventional Radiology; Abdominal Surgery; Oncology; Gynecology; Urology/Andrology;
• 出版者：Springer Paris
• ISSN：1958-5454

文摘

Cameron lesions are uncommon. They can be found as an incidental finding during esogastroduodenoscopy. Cameron lesions are linear gastric ulcers or erosions on the mucosal folds at the diaphragmatic impression found in 5.2% of patients with large hiatal hernias. They are clinically presented with chronic gastrointestinal bleeding and associated iron deficiency anemia. The rate of acute gastrointestinal bleeding is found to be variable. We are reporting the case of a 56-year-old Cameroonian male, whose past-medical history is relevant for hypertension, alcohol and tobacco abuse, and a ten year use of nonsteroidal anti-inflammatory drugs. He was admitted to the Yaounde Teaching Hospital for hypovolemic shock in the setting of hematemesis and melena associated with epigastric pain. The patient underwent esogastroduodenoscopy, which showed two Cameron ulcers in the hiatal hernia at the level of the diaphragmatic junction, and a duodenal ulcer. No active bleeding was found. The patient had a drop in hemoglobin level, which required blood transfusion. He was discharged on proton pump inhibitors. After one episode of rebleeding on the 5th day, we no longer noticed any complications and the patient was allowed to leave the hospital on the 15th day. The follow-up atone month was unremarkable.