Journal List > J Korean Soc Radiol > v.63(3) > 1086817

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Song, Kim, Jeong, Heo, Shin, Kang, and Heo: Double Pylorus After a Peptic Ulcer in the Gastric Antrum: A Case Report
Abdominal Radiology
Case Report

Journal of the Korean Society of Radiology 2010; 63(3): 245-247.

Published online: 30 September 2010

DOI: https://doi.org/10.3348/jksr.2010.63.3.245

Double Pylorus After a Peptic Ulcer in the Gastric Antrum: A Case Report

Jang-Hyeon Song, M.D., Jin Woong Kim, M.D.2, Yong Yeon Jeong, M.D.2, Suk Hee Heo, M.D.2, Sang Soo Shin, M.D., Heoung Keun Kang, M.D.2, Young Hoe Heo, M.D.3

1Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hospital, Gwang-Ju, Korea.

2Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital, Jeollanam-do, Korea.

3Department of Hepato-Pancreato-Biliary Surgery, Chonnam National University Medical School, Chonnam National University Hospital, Gwang-Ju, Korea.

Address reprint requests to: Jin Woong Kim, M.D., Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital, 160 Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeollanam-do 519-763, Korea. Tel. 82-61-379-7104, Fax. 82-61-379-7133, jw4249@hanmail.net

Received 18 April 2010       Accepted 27 May 2010

Copyright © 2010 The Korean Society of Radiology

Abstract

Double pylorus is an accessory channel between the gastric antrum and duodenal bulb with a normal pyloric canal. It is understood that the etiology of double pylorus is a congenital anomaly or an acquired complication after the occurrence of peptic ulcer disease. We report the CT findings with CT gastrography of double pylorus as a complication after a previous peptic ulcer in the gastric antrum.

Keywords: Pylorus, Computed tomography (CT), Gastric fistula

Figures and Tables

Fig. 1

Fig. 1. Double pylorus as a complication after previous peptic ulcer in the gastric antrum in a 54-year-old man.

A. Endoscopic image shows the peptic ulcer (white arrowhead) in the lesser curvature of gastric antrum and the pyloric canal (arrow).
B. 2D axial CT image shows a normal pylorus (arrow) and abnormal channel (arrowhead) between gastric antrum and duodenal bulb.
C. CT gastrogram shows double orifices of a normal pylorus (arrow) and abnormal channel (arrowhead) in the gastric antrum.
D. After 4 months, follow up endoscopic image shows the upper abnormal channel (black arrowhead) between the gastric antrum and duodenal bulb at the same site of a peptic ulcer on previous endoscopic image, and the lower true pyloric canal (arrow).
E. Image of upper gastrointestinal series (after 2 months) shows the upper abnormal channel (arrowhead) in the lesser curvature between gastric antrum and duodenal bulb and the lower true pyloric canal (arrow).
jksr-63-245-g001

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