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Tubular jejunal duplication, amelia and congenital diaphragmatic eventration in a neonate.

Introduction Intestinal duplication, amelia and congenital diaphragmatic eventration are all very rare anomalies with incidences of around 1/4500, 1/65 662 and less than 1/10 000, respectively (EL, 1961; Evans et al., 1994; Vanamo et al., 1996). Jejunal duplication accounts for 6.5–12% of all alimentary tract duplications and 20% of them are tubular (Bower et al., 1978; Holcomb et al., 1989; Macpherson, 1993; Stringer et al., 1995; Puligandla et al., 2003). The tubular length varies and the longest length reported was 85 cm (Foley et al., 2003). Amelia, complete absence of one limb, is rarely an isolated event. Two thirds of these cases are associated with anomalies in other organ systems (Evans et al., 1994). Congenital diaphragmatic eventration results from muscular aplasia of the diaphragm during the embryonic period and differs from acquired diaphragmatic eventration, which is usually a result of phrenic nerve lesions (Vanamo et al., 1996; Tsugawa et al., 1997). About 42% of cases with congenital diaphragmatic eventration were associated with other anomalies, including gastrointestinal and skeletal abnormalities (Karnak et al., 2000).