Double pylorus. Case report and literature review

Authors

  • Ricardo Hernández Hernández Hospital Universitario Clínico Quirúrgico Provincial Comandante Faustino Pérez Hernández. Matanzas.
  • Marlenin Estévez López Hospital Universitario Clínico Quirúrgico Provincial Comandante Faustino Pérez Hernández. Matanzas.
  • Annet Estrada Vaillant Hospital Universitario Clínico Quirúrgico Provincial Comandante Faustino Pérez Hernández. Matanzas.
  • Sahilí Corrales Alonso Hospital Universitario Clínico Quirúrgico Provincial Comandante Faustino Pérez Hernández. Matanzas.
  • Teresa Haza Medina Hospital Universitario Clínico Quirúrgico Provincial Comandante Faustino Pérez Hernández. Matanzas.

Keywords:

double pylorus, peptic ulcer, melena, video-endoscopy

Abstract

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.

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Published

2019-02-21

How to Cite

1.
Hernández Hernández R, Estévez López M, Estrada Vaillant A, Corrales Alonso S, Haza Medina T. Double pylorus. Case report and literature review. Rev Méd Electrón [Internet]. 2019 Feb. 21 [cited 2025 Jan. 22];41(1):232-8. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/2903

Issue

Vol. 41 No. 1 (2019)

Section

Presentation of cases

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