Figure 2.

(a) Schematic diagram, (b) intra-operative photograph, and (c) resected specimen, showing a long tubular duplication with a separate muscular coat and mesentery, extending from the third portion of duodenum distally for approximately 50 cm, terminating into a dilated redundant portion of the jejunum, approximately 20 cm in length and 5 cm in diameter. Resection was performed along the red and green lines, followed by closure of the duodenum (along the red line) and end-to-end anastomoses (between green lines) in 2 layers. Also note the cecum and transverse colon lying posterior and to the left of duodenojejunal loops, suggestive of reversed intestinal rotation