Gastrointestinal images: complete tubular duplication of the oesophagus in an adult.

INTRODUCTION: Duplication of the oesophagus is a rare congenital abnormality that usually presents in children. Presentation in adults is extremely rare. CASE HISTORY: 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. DISCUSSION: We describe the difficulty in diagnosing these rare congenital abnormalities. We recommend that with a multi-disciplinary approach, conservative management can be considered.