Double pylorus: as a cause of upper gastrointestinal bleeding

Double pylorus is a rare abnormality, and it occurs most commonly secondary of chronic peptic ulcer disease. It is usually treated conservatively and anti - ulcer therapy. However, refractory cases may require surgery. The most common causes of upper gastrointestinal tract bleeding are peptic ulcer disease, esophageal varices, Mallory-Weiss syndrome, and tumors. Hemangiomas and bleeding from biliary tract contribute a few cases. For double pylorus which is already a rare condition to present with upper gastrointestinal bleeding is very unusual