Abstract:
Introduction: Double pylorus (DP) is an uncommon condition characterized by
the presence of bilateral (double) communication between the gastric antrum and
the bulbus. DP was first reported in 1969 by Smith and Tuttle. This condition
may arise (occur) as a result of a congenital abnormality or as an acquired
complication of penetrating ulcer.
Case report: A 60-year-old female patient who presented with dyspeptic
complaints had a history of diabetes mellitus and hypertension. In the upper
gastrointestinalsystem gastroscopy performed undersedation, an ulcer wasfound
in the antrum. In the control gastroscopy performed after two months of medical
* Makale Geliş Tarihi: 01.06.2021 - Makale Kabul Tarihi: 30.06.2021
DOI: 10.17932/IAU.ASD.2015.007/asd_v07i3008
286
Double Pylorus: Report of a Case
treatment, it was observed that the ulcer in the antrum healed, but a second lumen
opened from the ulcer area to the bulb.
Conclusion: DP is an extremely rare condition and usually occurs as a
complication of peptic ulcer. Since there is a positive correlation between DP and
Helicobacter pylori (HP), diagnostic gastroscopy and detection of the presence of
HP are very important in terms of treatment. PPI and, if available, HP eradication
are generally recommended in medical treatment. Surgery may be required if
symptoms do not improve despite medical treatment, or recurrent bleeding,
obstruction, or perforation develops. Knowing the presence of DP beforehand in
endoscopic procedures such as ERCP and EUS using a side-view camera is
important in terms of reducing complications.
