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These results suggest that in the absence of intraepithelial neoplastic changes, BE carries a low risk of progression to HG-IEN/BAc, and strict surveillance (or ablative therapy) is advisable in cases with endoscopic abnormalities, LG-IEN or long BE segments.

HighlightsWe present a rare case of double intestinal duplication and incidental neuroendocrine tumor of appendix like acute abdomen.We discuss about the difficult in diagnostic imaging.We consider surgery mandatory for diagnosis and definitive therapy in these cases.

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