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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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Acquired double pylorus presenting as a gastrointestinal bleeding.

Sarra Laabidi^1,2, Asma Ben Mohamed^1,2, Amal Khsiba^1,2

¹Gastroenterology Department Hospital Mohamed Taher Maamouri Nabeul Tunisia.

Clinical Case Reports

|March 28, 2022

Summary

A rare case of acquired double pylorus, a condition where the stomach outlet forms two openings, was discovered in a 65-year-old man presenting with gastrointestinal bleeding. This likely resulted from a pre-pyloric ulcer.

Keywords:

acquired double pylorus gastroduodenal fistula gastrointestinal bleeding peptic ulcer disease

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Area of Science:

Gastroenterology
Surgical Pathology

Background:

Gastrointestinal bleeding is a common clinical presentation requiring prompt diagnosis.
Anatomical variations of the pylorus can predispose to complications.

Observation:

A 65-year-old male patient with no prior medical history presented with acute gastrointestinal bleeding.
Endoscopic and imaging studies revealed an unusual anatomical finding at the gastric outlet.

Findings:

The patient was diagnosed with an acquired double pylorus, characterized by the formation of two distinct openings in the pyloric region.
This anomaly was attributed to a probable pre-pyloric ulcer, suggesting a secondary developmental process.

Implications:

This case highlights the importance of considering acquired anatomical abnormalities in the differential diagnosis of gastrointestinal bleeding.
Understanding the etiology of acquired double pylorus can inform management strategies and surgical approaches.
Further research into the pathogenesis of acquired pyloric stenosis and duplication is warranted.