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

Abstract

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.

A rare cause of gastrointestinal bleeding in adults: Ileal duplication with ulceration: A case report and review of literature

“…Ileal duplication (blue line) with a length of about 6 cm was observed during the laparoscopy. Besides gastrointestinal bleeding, patients with ileal duplication commonly suffer from abdominal pain, internal obstruction, volvulus, intussusception (9), and even malignant tumor formation has been reported in an extreme minority of patients. However, this malignant transformation typically occurs in the colonic duplication (10).…”