Double Pylorus Presented with Upper Gastrointestinal Bleeding

Double pylorus is a rare endoscopic finding, often secondary to chronic peptic ulcer disease and mucosal fistulization. It may become evident incidentally or during an investigation of upper gastrointestinal (GI) bleeding. Our case was a hemodynamically unstable woman who presented with hematemesis. Gastroduodenoscopy revealed a double pylorus with a visible vessel in the bulb region. We successfully controlled the bleeding endoscopically, and the patient was discharged in stable condition. Double pylorus may rarely be observed in patients with recurrent or complicated peptic ulcers. Recognition of this anomaly is essential for appropriate management.