Caecal duplication in a neonate causing intestinal obstruction

Intestinal duplication is one of the rare congenital abnormalities encountered. Duplications found on the small intestine are more commonly encountered in clinical practice than the large intestine and majority of these occurs in the ileum. We present a three-week old neonate with features of intestinal obstruction a presumptive diagnosis of intususception with presumed sepsis was made. Intraoperative findings revealed caecal duplication causing the intestinal obstruction. Limited excision and ileo-ascending colic anastomosis was carried out. Patient responded well and was discharged on follow-up.