Hematemesis Melena due to Helicobacter Pylori Infection In Duodenal Ulcer: A Case Report and Literature Review

A Balinese woman, 60 years old complaint of hematemesis and melena. Esophagogastroduodenoscopy performed one day after admission and revealed a soliter ulcer at duodenum bulb. Histopathology examination revealed a spherical like organism suspected Helicobacter pylori (H. pylori) infection. Eradication of H. pylori by triple drug consisting of omeprazole, amoxicillin and chlarythromycin as the standard protocol of eradication within 14 days. Reevaluation by esophagogastroduodenoscopy examination will perform in the next 3 months to evaluate the treatment succesfull.