Ewha Med J.  2012 Mar;35(1):54-57. 10.12771/emj.2012.35.1.54.

A Case of Double Pylorus Presenting with Ulcer Bleeding

• Chung JW
• Shim KN
• Kwon KJ
• Na SK
• Yun HW
• Song DK
• Kang SH

• KMID: 2134947
• DOI: http://doi.org/10.12771/emj.2012.35.1.54

Abstract

Double pylorus is one of the rare anomalies of gastrointestinal tract, which have an accessory canal connecting the distal stomach to the duodenal bulb. The majority of the cases is thought to be acquired lesions from ulcer disease except some congenital cases. We report a case of a 77 year-old male who was visited the hospital because of the melena and diagnosed double pylorus. The relevant literatures on subject were reviewed.

Keyword

Double pylorus; Gastric ulcer; Ulcer bleeding

MeSH Terms

Gastrointestinal Tract
Hemorrhage
Humans
Male
Melena
Pylorus
Stomach
Stomach Ulcer
Ulcer

Figure

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  Fig. 1 Endoscopic finding of 2 years ago. Gastric ulcer is seen at the lesser curvature of antrum.

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  Fig. 2 Endoscopic findings of double pylorus. (A) The huge active ulcer with whitish exudates is noted in pylorus. (B) An accessory channel into the duodenal bulb is confirmed by follow-up endoscopy.

Reference

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