Double pylorus

A 56-year-old male presented with progressive upper abdominal pain for 5 days at our department. He had neither undergone endoscopy nor recently used non-sterodial anti-inflammatory drugs. He underwent his first upper gastrointestinal endoscopy, showing two openings, which were separated by a bridge, between gastric antrum and duodenal bulb (Fig. 1A, upper panel). A closer endoscopic observation also demonstrated an ulcer in one of the two openings (Fig. 1A, lower panel). Thus, a diagnosis of double pylorus with an ulcer in the gastroduodenal fistula was diagnosed.

Source: Digestive and Liver Disease - October 10, 2019 Category: Gastroenterology Authors: Xingshun Qi, Xiaozhong Guo, Xiaodong Shao Tags: Image of the Month Source Type: research