PMC5833192_01
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.
CRIS2018-2858723.001.jpg
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fig1
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).
CRIS2018-2858723.002.jpg
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fig2
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.
(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.
CRIS2018-2858723.003.jpg
PMC5833192_01_CRIS2018-2858723.003.jpg
fig3
The histology of the resected part of the confluence showed double lumen with the septum containing the muscularis propria (Figure 3(b)).