A case is sixty three years-old male. Chief compliant was vertigo and dizziness. He visited the emergency room at our hospital because his symptom had become progressively more severe. When we interviewed and examined him, there was no hematemesis and tarry stool. We decided to perform urgent endoscopy due to anemia (Hb 7.1 g/dl) . The duodenal ulcer (A1 stage) with spurting bleeding was observed in the horizontal portion of duodenum. Complete haemostasis was attained with HSE injection and clipping.
