DOI: https://doi.org/10.36347/sjmcr.2025.v13i06.033

Pages: 1437-1439

Upper gastrointestinal hemorrhage (UGIH) is a frequent emergency in gastroenterology, with a variety of etiologies. We report the case of a 79-year-old patient, with a history of unoperated tight aortic stenosis and recent ischemic stroke on Kardegic, admitted for massive hematemesis complicated by hemorrhagic shock. An oesogastroduodenal fibroscopy revealed a 4 cm sliding hiatal hernia, complicated by severe Los Angeles grade D oesophagitis and Cameron lesions. Medical management resulted in clinical stabilization, with a scheduled follow-up FOGD at 8 weeks. This case highlights the importance of considering Cameron lesions as a potential cause of HDH, particularly in elderly patients with hiatal hernia.