A 73 years old male. It was under going to the nearby hospital for hypertension and hyperlipidemia. Moreover, it was under going to hospital regularly to the visitor of the department of this because of the reflux esophagitis. June 12, 2001, nausea, vomiting and diarrhea appeared and this department visitor was consulted on the following day, the 13th. The renal failure was accepted by dehydration and leukocytosis was also accepted. For this reason, he was sent to hospital on the same day. Afterhospitalization, although condition has improved gradually by intravenous drip, tarry stool and anemia appeared. For this reason, when upper endoscopy was performed on June 22, the multiple duodenal ulcers of the second portion were accepted, and they were judged as the cause of bleeding. In the biopsy of the circumference of an ulcer, it was no malignancy. During progress, although it lapsed into the bleeding shock, it has imploved under the medical treatment by transfusion, the hemostat, and H2-blocker, and the ulcer has improved. The recurrence of ulcers were not accepted after that. A case of the multiple duodenal ulcers of the second portion discovered ignited by bleeding was experienced. The part of ulcers, quality, etc. are rare and it reports this time.
