Gastro-duodenal ulceration in abdominal angina

Two cases of verified abdominal angina are presented. Multiple, atypical ulcerations in the postbulbar duodenum were diagnosed endoscopically in both cases. Atypical gastric ulcers were also present in one case. The suggestion is made that such ulceration may not be uncommon in intestinal ischaemia. Such findings at endoscopy should arouse the suspicion of abdominal angina, especially when preceding diagnostic procedures, including biopsies, have failed to demonstrate other clear-cut gastrointestinal disease.