Abstract
A-73-year old man was admitted to our hospital because of sudden onset of right upperquadrant abdominal pawn. Abdominal ultrasonography and computed tomography resealedan expanded gall bladder with slightly thickened wall and stone. Though antibaatzc therapywas performed, tarry stools and dyspnea appeared on the fifth day. Upper gastrointestinalendoscapy revealed a PTP sticking in the duodenal bulb. There was a large ulcer withblood coagula in the bulb and second portion of the duodenum. The PTP was removed byusing a colonoscopic stiffening tube as an overtube. After endoscopic removal of the PTP, his symptoms disappeared rapidly. Therefore, it was considered that the PTP caused thesymptoms. The patient was not aware of ingesting PTP. In mast cases, an ingested PTPis located in the esophagus, and this was a rare case of PTP found in the duodenum.
