title: An unexpected gangrenous duplication of ileum.
abstract: Alimentary tract duplication is a rare congenital anomaly which may involve any part of the alimentary tract extending from stomach to rectum. Clinical presentation may mimic an inflamed appendix as described in this case. A 9-year-old boy with a clinical diagnosis of perforated appendix was noted to have a normal appendix intra-operatively. On further search for an underlying pathology, a gangrenous ileal duplication was discovered. En-bloc resection with primary bowel anastomosis was done. Histopathology report revealed a gangrenous small bowel duplication. We discuss the preoperative diagnostic dilemma and management options in approaching this rare entity.
authors.affiliation: Hospital Taiping, Department of Surgery, Perak, Malaysia. chiarchurninn@gmail.com.
authors.forename: C I
authors.initials: CI
authors.lastname: Chiar
authors.affiliation: Hospital Taiping, Department of Surgery, Perak, Malaysia.
authors.forename: T
authors.initials: T
authors.lastname: Elango
authors.affiliation: Hospital Taiping, Department of Surgery, Perak, Malaysia.
authors.forename: L
authors.initials: L
authors.lastname: Sivaneswaran
authors.affiliation: Hospital Taiping, Department of Surgery, Perak, Malaysia.
authors.forename: R
authors.initials: R
authors.lastname: Umasangar
authors.affiliation: Hospital Taiping, Department of Surgery, Perak, Malaysia.
authors.forename: N
authors.initials: N
authors.lastname: Mohan
mesh_terms: D001064:Appendicitis / Q000175:diagnosis / Q000601:surgery; D002648:Child; D003951:Diagnostic Errors; D005734:Gangrene / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000002:abnormalities* / Q000382:microbiology / Q000601:surgery; D008297:Male