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Enteric duplication is a rare congenital anomaly which is commonly encountered in pediatric age group, and is rarely seen in adult patients. Ileum is the most common site of involvement (60%) followed by duodenum, stomach, jejunum, colon and rectum. Here we report a case of a 20-year old female presenting with acute intestinal obstruction, in which an initial diagnosis of Hirschsprung's disease (HD) was considered and laparotomy, multiple colonic biopsies, appendectomy with loop ileostomy wasdoi:10.17659/01.2016.0016 fatcat:fp5po3rkgveapeuyu7asbd3xi4