Cameron ulcer causing severe anemia in a patient with diaphragmatic hernia.
Caption: FIGURE 1 Cameron ulcer in the setting of Barrett's esophagus on EGD
A colonoscopy and an esophagogastroduodenoscopy (EGD) were performed (figure 1a-1c), with results suggestive of diverticulosis, probable Barrett's mucosa, esophageal ulcer, huge hiatal hernia (at least one-half of the stomach was in the chest), and Cameron ulcers. Esophageal biopsies showed cardiac mucosa with chronic inflammation.
Although rare, Cameron ulcers must be considered in the differential diagnosis of patients with chronic anemia of unknown origin.
* In our patient's case, his severe anemia was likely the result of a combination of the esophageal and Cameron ulcers evidenced on EGD, rather than any single ulcer.