Pseudomelanosis duodeni is a rare incidental finding seen on endoscopy and has 
the characteristic appearance of flat, black-speckled pigmented mucosa. We 
present the case of an 83-year-old woman who presented with gastrointestinal 
bleeding and was found to have pseudomelanosis duodeni. The finding has no 
diagnostic or prognostic significance. Therapeutic chelation or endoscopic 
follow-up is not recommended.