A Rare Case of Dual Cecae

An 18-year-old woman presented with crampy upper abdominal pain for 16 months. An esophagogastroduodenoscopy 1 year prior was notable only for heterotopic pancreatic tissue in the gastric antrum. Past history included asthma and congenital genitourinary and pelvic malformations with multiple urological surgeries and genitoplasty. Abdominal examination showed scars from previous surgeries but was otherwise normal. An abdominal and pelvic computed tomography showed left-sided hydroureteronephrosis, partial duplication of the urinary bladder, and duplication of uterus and cervix. A colonoscopy showed no evidence of macroscopic colitis. Surprisingly, 2 cecae were noted, each with its own appendicial orifice. The terminal ileum had a normal appearance and was intubated via a triangular valve between the 2 cecae (Figure 1). Biopsies from colon and terminal ileum were normal.