The 
Image Library
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Duodenal Scars
High resolution image: Scar after a typical duodenal ulcer
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Duodenal ulcers come and go, but the duodenal ulcer disease persist. Scars in the duodenal bulb is a definite sign of duodenal ulcer disease, although no actual ulcer is seen.
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The clinical significance of a finding like this is most often the need for eradication of Helicobacter pylori.
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Scarring sometimes produces diverticulum-like changes in the bulb. These are not however real diverticulas.
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Typical small scars caused by duodenal ulcers.
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In an surgically treated duodenal ulcer disease suture material is sometimes seen in the scars in thy duodenal bulb.
High resolution image: Scar after a typical duodenal ulcer
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