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2019, Number 1

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Rev Méd Electrón 2019; 41 (1)

Double pylorus. Case report and literature review

Hernández HR, Estévez LM, Estrada VA, Corrales AS, Haza MT

Language: Spanish
References: 21
Page: 189-195
PDF size: 3671.63 Kb.


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 videoendoscopy 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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