A DOUBLE PYLORUS; THE HEALING PROCESS OF PREPYLORIC ULCER WITH THE FORMATION OF THE ANTROBULBAR FISTULA

Abstract

A 77 years old man had a sudden onset of an epigastric pain and melena in the course of acute respiratory failure. The urgent endoscopy showed an irregular shaped ulcer covered with hemorrhagic clots on the lesser curvature of the prepyloric region of the stomach. Three weeks later, the repeated endoscopy revealed that the ulcer had perforated to duodenal bulb with a so-called double pylorus formation. The endoscopic features taken after two years showed unchanged appearence of the double pylorus still as same as the last one. In our case followed up clinically for two years with the serial endoscopic exminations, it was possible to observe the healing process of prepyloric ulcer with the formation of the antrobulbar fistula and its constant and unchanged features for two years without any complaints.