Intestinal adenocarcinoma originating from an undiagnosed Meckel's diverticulum.

Autor: Principe DR; Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA., Nesper P; Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA., Metropulos AE; Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Rubin J; University of Illinois Metropolitan Group Residency Program, Chicago, IL, USA., Marinov MN; Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2022 May 22; Vol. 2022 (5), pp. rjac128. Date of Electronic Publication: 2022 May 22 (Print Publication: 2022).
DOI: 10.1093/jscr/rjac128
Abstrakt: Meckel's diverticulum is a congenital anomaly leading to the formation of a true diverticulum in the distal small intestine. Though most are asymptomatic and discovered incidentally, Meckel's diverticuli can give rise to a wide range of symptoms. Rarely, this can be a malignancy, most commonly a carcinoid tumor. Other cancers have also been reported, with adenocarcinomas being particularly rare. Here, we report the case of a 62-year-old man presenting to the emergency room with vague gastrointestinal symptoms. Subsequent workup revealed a 3 cm mass in the distal jejunum/proximal ileum, which was located within a previously undiagnosed Meckel's diverticulum. The mass was sent to pathology, who confirmed an adenocarcinoma arising from a small bowel diverticulum. This case serves as an important reminder of the malignant potential of a Meckel's diverticulum and adds to the ongoing discussion regarding whether prophylactic diverticulectomy should be recommended to patients with a known Meckel's diverticulum.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022.)
Databáze: MEDLINE
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