CC BY 4.0 · Surg J (N Y) 2021; 07(01): e14-e17
DOI: 10.1055/s-0040-1722180
Case Report

Tubular Ileal Duplication Causing Perforative Peritonitis in an Adult: A Rare Presentation

1   Department of Surgery, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, Maharashtra, India
1   Department of Surgery, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, Maharashtra, India
1   Department of Surgery, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, Maharashtra, India
Sakina Husain
1   Department of Surgery, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, Maharashtra, India
› Author Affiliations


Background Enteric duplication cysts are a rare congenital abnormality that present more commonly in children than adults. Clinical presentation varies from vague abdominal pain, abdominal lump, iron deficiency anemia to intestinal obstruction due to intussusception or mass effect. We report a tubular ileal duplication in an adult male presenting with an acute abdomen due to perforative peritonitis.

Case A 20-year-old male presented to the emergency department with complains of right lower abdominal pain. On clinical examination and ultrasound scan patient was suspected to have a complicated acute appendicitis (rupture). However, a computed tomography scan was suggestive of perforation in the distal ileum. Emergency exploratory laparotomy revealed a perforated isolated ileal tubular duplication.

Publication History

Received: 01 April 2020

Accepted: 02 September 2020

Article published online:
01 February 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

  • References

  • 1 Sun X, Wang J, Yang G. Surgical treatment of esophageal leiomyoma larger than 5 cm in diameter: a case report and review of the literature. J Thorac Dis 2012; 4 (03) 323-326
  • 2 Lamare KN, Maibam C, Singh LJ, Devi SR, Singh TAK. Enterogenous cyst of the jejunum: a rare case report. J Evolution Medical Dental Sci 2014; 3 (39) 9976-9978
  • 3 Al-Sarem SA, Al-Shawi JS. Ileal duplication in adults. Saudi Med J 2007; 28 (11) 1734-1736
  • 4 Tamvakopoulos GS, Sams V, Preston P, Stebbings WS. Iron-deficiency anaemia caused by an enterolith-filled jejunal duplication cyst. Ann R Coll Surg Engl 2004; 86 (06) W49-51
  • 5 Johnson III JA, Poole GV. Ileal duplications in adults. Presentation and treatment. Arch Surg 1994; 129 (06) 659-661
  • 6 Li BL, Huang X, Zheng CJ, Zhou JL, Zhao YP. Ileal duplication mimicking intestinal intussusception: a congenital condition rarely reported in adult. World J Gastroenterol 2013; 19 (38) 6500-6504
  • 7 Puligandla PS, Nguyen LT, St-Vil D. et al. Gastrointestinal duplications. J Pediatr Surg 2003; 38 (05) 740-744
  • 8 Keramidas DC, Demetriades DM. Total tubular duplication of the colon and distal ileum combined with transmesenteric hernia: surgical management and long-term-results. Eur J Pediatr Surg 1996; 6 (04) 243-244
  • 9 Li L, Zhang JZ, Wang YX. Vascular classification for small intestinal duplications: experience with 80 cases. J Pediatr Surg 1998; 33 (08) 1243-1245
  • 10 Govoni AF, Burdman D, Teichr I. et al. Enterogenous cyst of the colon presenting as a retroperitoneal tumour in an adult. AJR 1990; 123: 320-329
  • 11 Pant N, Grover JK, Madan NK, Chadha R, Agarwal K, Choudhury SR. Completely isolated enteric duplication cyst associated with a classic enterogenous duplication cyst. J Indian Assoc Pediatr Surg 2012; 17 (02) 68-70
  • 12 Srivastava P, Gangopadhyay AN, Kumar V. et al. Noncommunicating isolated enteric duplication cyst in childhood. J Pediatr Surg 2009; 44 (07) e9-e10
  • 13 Lemahieu J, D'Hoore A, Deloose S, Sciot R, Moerman P. Pseudomyxoma peritonei originating from an intestinal duplication. Case Rep Pathol 2013; 2013: 608016
  • 14 Houdart R, Jian R, Galian A. et al. Ileal duplication in adults. Value of 99m pertechnetate scintigraphy [in French]. Gastroenterol Clin Biol 1984; 8 (8-9): 627-631