Acute upper bleeding due to an unusual complication of peptic ulcer disease: double pylorus

Acquired double pylorus presenting as a gastrointestinal bleeding

“…9 Furthermore, this condition is generally asymptomatic; however, symptoms may range from simple indigestion to complication as gastrointestinal bleeding. 10 On the one hand, our patient can sum up a story of gastrointestinal bleeding and GDF which are unusual complications of peptic ulcerative disease. On the other hand, GDF may also be congenital and gastrointestinal bleeding appears to be, in this case, a mere coincidence.…”

“…Regarding mechanism of formation of GDF, accessory pyloric channel is probably created as a result of penetration of peptic ulcer from the stomach to first part of duodenum by means of re‐epithelialization 9 . Furthermore, this condition is generally asymptomatic; however, symptoms may range from simple indigestion to complication as gastrointestinal bleeding 10 …”

Double pylorus; a Rare Disorder Presenting with Gastrointestinal Bleeding

“…It believed that formation of a fistulae because of the gastric ulcer causes the anomaly, however duodenal ulcers may also cause double pylorus formation (8). As potential ulcerogenic drugs NSAIDs play important role in the formation of the anomaly.…”

Der Doppelpylorus – ein seltener endoskopischer Befund

“…Dabei kann der falsche Pylorus kleiner werden, er scheint sich jedoch in der Regel nicht zu verschließen [6,11]. Manchmal sollen die entzündlichen Veränderungen aber auch durch einen Gallereflux mitbedingt sein, was dann zu einer Ulkuspersistenz beiträgt und in einzelnen Fällen operiert werden musste [2].…”