Abstract

HERNANDEZ HERNANDEZ, Ricardo et al. Double pylorus. Case report and literature review. Rev.Med.Electrón. [online]. 2019, vol.41, n.1, pp. 189-195. ISSN 1684-1824.

Double pylorus is an abnormal communication between the gastric antrum and the duodenal bulb and represents a rare endoscopic finding. It is presented the case of a patient aged 80 years, with a background of arterial hypertension, inveterate smoker, taking aspirin, who presented melena about 15 days before the admission. The video-endoscopy revealed the existence of two similar orifices in the antrum that were independently communicating with the duodenal bulb and they went catalogued like pylori. The communication was proved by passing the endoscope through it. He was treated with IBP (the Spanish acronym for proton bomb inhibitors) and the evolution was favorable. It is the fourth case reported in the literature in Cuba and the first one in Matanzas.

Keywords : double pylorus; peptic ulcer; melena; video-endoscopy.

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