Abstract
A 67-year-old man visited our clinic with complaints of melena and epigastric pain. The first endoscopic examination showed a large gastric ulcer with blood clots on the lesser curvature of the prepyloric region. The second endoscopic examination which was performed two months later revealed a healed gastric ulcer and an accessory opening on the lesser curvature of the pylorus. Fifty three months later endoscopic examination revealed a large single pylorus and two elevated lesions which were formerly composed of the septum between the pylorus and accessory opening. Seventy one months later the elevated lesions were flattened.
