Korean J Gastrointest Endosc > Volume 35(2); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(2): 96-99.
십이지장 궤양을 동반한 중복 유문 1예
이지연·이현정·이종섭·현진남·김소미·김석영·이원준·최승진·전일영·오동준
샘안양병원 내과
A Case of Double Pylorus Accompanied by Duodenal Ulcer
Ji Yeon Lee, M.D., Hyun Jeong Lee, M.D., Jong Sup Lee, M.D., Jin Nam Hyun, M.D., So Mi Kim, M.D., Seok Young Kim, M.D., Won Jun Lee, M.D., Seung Jin Choi, M.D., Il Young Chon, M.D. and Dong Joon Oh, M.D.
Department of Internal Medicine, Sam Anyang Hospital, Anyang, Korea
Abstract
Double pylorus is a rare abnormality of the gastrointestinal tract and it presents as two openings between the gastric antrum and the duodenal bulb. The acquired type is more common than the congenital one and this acquired type arises secondary to peptic ulcer disease. A 68-year-old man visited the gastrointestinal clinic and he presented with chronic epigastric pain and dyspepsia. Upper endoscopy showed double pylorus with an accessory channel on the lesser curvature side of the prepyloric antrum and also an active duodenal ulcer. Upon review of the patient's past history and examination, the findings of the upper endoscopy that was done 7 years previously were within the normal limits. The patient was diagnosed as having a double pylorus secondary to duodenal ulcer and he treated conservatively with anti-ulcer therapy. We report here on a case of double pylorus along with the brief review of the literature.
Key Words: Double pylorus, Duodenal ulcer
주요어: 중복 유문, 십이지장 궤양
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