Colonic duplication in an adult who presented with chronic constipation attributed to hypothyroidism

Figure 1 Plain X-ray of the abdomen showing a dilated intestinal loop occupying more than half of the abdominal cavity filled with fecal masses.

Figure 2 Abdominal CT showing a dilated intestine from the diaphargm to the pelvis, measuring 36 cm in length with a diameter of 11 cm dislocating normal intestine laterally.

Figure 3 Operative view of normal transversal colon and the distended tubular colonic duplication.

Figure 4 Surgical specimen showing part of the normal ascending and transversal colon together with a tubular duplication with all layers of the colonic wall dividing these structures.