A 60-year-old woman presented to the emergency department of our university hospital for several
episodes of upper gastro-intestinal bleeding (hematemesis and melena). The endoscopic examination
(Figure 1) showed a large ulcer at the front of the bulb, with a calculation within it and a
visible vessel on the banks of the ulcer treated by putting two clips. Computer tomography (CT),
demonstrated a sclerotic, atrophic and multi gallstone gallbladder, with a calculation protruding
in the duodenum. The patient underwent surgery which consisted on partial cholecystectomy with
duodenal suture and closing of cystic duct