Late presenting ileal tubular duplication with neonatal oesophageal duplication

Gastrointestinal duplications (GID) are rare congenital anomalies that can occur anywhere along the gastrointestinal tract. Herein, we report an association of oesophageal and ileal duplications to discuss the occurrence of multiple GIDs with different presentations in children. A 9-month-old male patient, who had undergone surgery for an oesophageal duplication cyst (DC) in the neonatal period, was admitted with rectal bleeding. During laparoscopy, a 40 cm length tubular duplication was noted. The duplication was resected along with the neighbouring ileal segment, followed by ileo-ileal anastomosis of the remaining segments. Although almost all GIDs reported in the literature were structurally cystic and diagnosed simultaneously, the association of a neonatal foregut DC with a late-presenting midgut tubular duplication has not been previously reported. In conclusion, multiple GIDs are very rare in children. Depending on their localization in the gastrointestinal tract, they may present with different clinical symptoms and become symptomatic at varying time points throughout life.