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Related Experiment Video

Updated: Feb 13, 2026

Extraction of Saliva, Haemolymph, Salivary Glands, and Midgut from Individual Ticks (Acari: Ixodidae)

Extraction of Saliva, Haemolymph, Salivary Glands, and Midgut from Individual Ticks (Acari: Ixodidae)

Published on: October 31, 2025

Total midgut duplication: a ticking time bomb.

Vikram Khanna¹, Kashish Khanna², Maddur Srinivas²

¹Pediatric Surgery, Lady Hardinge Medical College, New Delhi, India.

BMJ Case Reports

|March 17, 2018

Summary

Complete midgut duplication in a neonate can lead to life-threatening bleeding. Early detection and treatment of these congenital anomalies, including searching for additional lesions, are crucial for favorable outcomes.

Keywords:

congenital disorders gastrointestinal surgery paediatric intensive care paediatric surgery radiology

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Area of Science:

Pediatric Surgery
Gastroenterology
Congenital Anomalies

Background:

Neonates can present with gastrointestinal obstruction and abdominal masses due to congenital abnormalities.
Midgut duplication is a rare congenital anomaly that can cause significant complications.

Observation:

A neonate presented with bowel obstruction and an abdominal mass, diagnosed as complete tubular midgut duplication.
Ectopic gastric mucosa was detected in the abdomen and thorax via imaging studies.
The patient later experienced massive rectal bleeding and shock, necessitating emergency surgery.

Findings:

Complete tubular midgut duplication extending from the duodenojejunal junction to the terminal ileum was identified.
A separate foregut duplication cyst was found in the thorax.
The patient underwent surgical procedures including the Wrenn procedure and excision of the thoracic cyst.

Implications:

Untreated total midgut duplication can result in severe, life-threatening hemorrhage.
The presence of one duplication warrants investigation for additional congenital lesions.
Mucosal stripping is presented as a safe alternative to resection for managing duplication cysts.