Ulcer perforation in bulb

Ulcer perforation in bulb

Ulcer perforation in bulb

 Florid gastric ulcer perforated into the duodenal bulb with bleeding from the fringe of the ulcer. Small ulcers in the bulb

Double pylorus after perforation

Double pylorus after perforation

EGD control after 14 days shows a wide, largely healed perforation, which is well passable with the endoscope.