case_images: PMC5833192_01
case_images: Plain abdominal X-rays (erect and supine) showing proximal small bowel loop dilatation, gaseous with some air fluid levels, while the distal part being dense with the rectum loaded with fecal matters.
case_images: CRIS2018-2858723.001.jpg
case_images: PMC5833192_01_CRIS2018-2858723.001.jpg
case_images: fig1
case_images: Tubular duplicate of the small intestine: (a), (b), and (c) show duplicate intestine (black arrows) with the two bowel loops sharing the mesentery, and (d) shows the double lumen (black arrow) with a perforation at the site of confluence (white arrow).
case_images: CRIS2018-2858723.002.jpg
case_images: PMC5833192_01_CRIS2018-2858723.002.jpg
case_images: fig2
case_images: The duplicate bowels shared the mesentery spanning the length of about 90 centimeters with a perforation at the mesenteric border of the confluence (Figure 2(d)). The appendix was in retrocaecal position and perforated at its base.
case_images: (a) Resected portion of the duplicate, showing the confluence of the two lumens (black arrows) and the dividing septum (white arrow). (b) Histology slide of (a), showing the double lumen and a septum with muscularis propria.
case_images: CRIS2018-2858723.003.jpg
case_images: PMC5833192_01_CRIS2018-2858723.003.jpg
case_images: fig3
case_images: The histology of the resected part of the confluence showed double lumen with the septum containing the muscularis propria (Figure 3(b)).