Acquired double pylorus or gastroduodenal fistula. Report of a case and review of the literature.

A case of acquired double pyloric channel in a 62-year-old man is reported, with a review of the available literature on the topic. Double pylorus or gastroduodenal fistula is a rare condition, nearly always following a penetrating and fistulous ulcer; there is no particular or autonomous clinical picture, and the diagnosis is usually made by means of radiology and endoscopy.