Abstract :Introduction: Duplications of the alimentary tract are infrequent congenital malformations that
might occur at any level from the mouth to the anus. The esophagus is the second most common site
of the alimentary tract duplications. Based on autopsy reports, it is estimated that gastrointestinal
tract duplication affects 1 in every 4,500 to 8,200 individuals. These malformations are predominantly
diagnosed during childhood. Pathologically, two types have been recognized, cystic and tubular.
Most duplications are cystic, and tubular type is extremely rare. Herein, we present the case of an
adult patient with tubular esophageal duplication.
Case Report: A 28 year-old male patient was evaluated for chronic epigastric pain and pirosis.
During an upper endoscopy we observed a tubular esophageal duplication with endoscopic findings
suggestive of Barrett’s esophagus in both segments. This finding was corroborated with CT of the
chest. The patient was started on proton-pump inhibitor treatment and surgical resection was
recommended.
Conclusion: Tubular esophageal duplication is extremely rare; and patients might have late clinical
presentation.