56 year-old woman with dysphagia (difficulty swallowing) and odynophagia (painful swallowing). In addition to severe inflammation of the esophagus (which accounted for her symptoms), endoscopy also demonstrated these two ulcers in the duodenal bulb.
Left: 43 year-old man with hematemesis (vomiting blood) and melena (black, tarry stools), found to have two ulcers in the duodenal bulb: a small ulcer in the foreground, and a larger ulcer with a "sentinel clot" which was the source of bleeding.
Right: Close-up of the larger ulcer.
66 year-old man taking anti-arthritis medication, who presented with upper gastrointestinal tract bleeding. Endoscopy demonstrated two large ulcers in the duodenal bulb, with surrounding duodenitis.
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