oesophago-gastro- duodeno-jejunal duplication

An electrician's mate aged 18 years was referred to the writer by a chest physician in June 1964 with the history that on mass radiography in July 1962 shadows were seen projecting a little from the right side of the mediastinum both above and below the level of the hilum (Fig. 1). He had had no symptoms apart from a trivial cough since the age of 6 years. There were a few slightly,pigmented spots on the trunk diagnosed as 'oil folliculitis' due to his occupation. He was admitted for investigation to a thoracic unit where a thoracotomy was performed by another surgeon. A large multi-cystic oesophageal duplication was found. This was mobilized, but since the proximal end disappeared into the neck and the distal end extended down into the abdo-