Double pylorus, also known as acquired double is a rare condition defined gastrointestinal fistula connecting stomach antrum and duodenal bulb. The prevalence of pylorus ranges from 0.001 to 0.4% by esophagogastroduodenoscopy (EGD). Although the etiology unknown, formation related <i>Helicobacter pylori</i> infection use non-steroidal anti-inflammatory drugs (NSAID). development occ...