title: Gastrointestinal images: complete tubular duplication of the oesophagus in an adult.
abstract: BACKGROUND
  Duplication of the oesophagus is a rare congenital abnormality that usually presents in children. Presentation in adults is extremely rare.
  
  
  METHODS
  We report a case of a19-year-old gentleman presenting with general gastrointestinal symptoms of pain and dysphagia. Diagnosis was made with CT and contrast studies, demonstrating complete tubular duplication of the oesophagus with communications at both ends of the duplication. The patient was managed conservatively.
  
  
  CONCLUSIONS
  We describe the difficulty in diagnosing these rare congenital abnormalities. We recommend that with a multi-disciplinary approach, conservative management can be considered.
authors.affiliation: Department of Bio-surgery and Surgical Technology, Imperial College London, London, W2 1NY, UK.
authors.forename: Trystan M
authors.initials: TM
authors.lastname: Lewis
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Zacharakis
authors.forename: Jonathan
authors.initials: J
authors.lastname: Hoare
authors.forename: Sanjay
authors.initials: S
authors.lastname: Purkayastha
authors.forename: George B
authors.initials: GB
authors.lastname: Hanna
mesh_terms: D001706:Biopsy; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004935:Esophageal Diseases / Q000151:congenital / Q000175:diagnosis*; D004947:Esophagus / Q000002:abnormalities*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*; D055815:Young Adult