Double pylorus as a cause of gastrointestinal bleeding

Ehrhardt, Dirk; Löhr, Matthias; Liebe, Stefan

doi:10.1177/014107689909200513

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…The double pylorus may occur as an exceedingly rare congenital anomaly or, relatively more commonly, secondary to peptic ulcer disease [ 1 , 4 ]. The first congenital double pylorus was reported in 1971; since then congenital double pylorus has been rarely reported [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Congenital Double Pylorus

Naidoo

Singh

2012

Case Reports in Gastrointestinal Medicine

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The double pylorus is an uncommon finding and maybe congenital due to gastrointestinal duplication abnormality or more commonly secondary to peptic ulcer disease. The case we present is an elderly patient with mild dyspeptic symptoms who had an upper endoscopy as part of her investigative workup. The congenital double pylorus, being asymptomatic, may often go undetected. It is sometimes found incidentally on upper endoscopy, but needs no directed therapy. It is not associated with any specific complication.

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Section: Discussionmentioning

confidence: 99%

Congenital Double Pylorus

Naidoo

Singh

2012

Case Reports in Gastrointestinal Medicine

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Congenital double pyloric ostium in the adult

et al. 2002

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Duplication of the pylorus, an extremely rare congenital anomaly of the stomach, consists of two openings connecting the antrum of the stomach to the duodenal bulb. Approximately 70 cases of double pylorus have been described in the literature, most of which are associated with the presence of chronic peptic ulcers, thus indicating an acquired origin of the condition. We report a case of congenital double pylorus in a 64-year-old man who complained about mild postprandial epigastric discomfort and nausea of approximately 3 months' duration. Endoscopic examination of the stomach showed a double pyloric ostium connecting the stomach to the duodenum. No signs of acute or chronic peptic ulcer were noted. A biopsy was taken from the region between the two openings, which showed normal mucosa and a muscularis mucosae layer. Apart from a mild gastritis, no other pathology (chronic peptic ulcer, ulcerated malignancy) suggesting an acquired origin of the double pylorus was observed. Therefore, the case was considered to be congenital in origin. The patient was successfully treated conservatively with antacids and gastrokinetics.

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Double pylorus as a cause of gastrointestinal bleeding

Cited by 2 publications

References 3 publications

Congenital Double Pylorus

Congenital Double Pylorus

Congenital double pyloric ostium in the adult

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