Gastric adenocarcinoma of Meckel's diverticulum as a cause of colonic obstruction.
A 45-year-old-female patient with no prior surgical history presented with bowel obstruction. At laparotomy, a bulky tumor arising from the ileum, which completely obstructed the sigmoid colon, was found. A left hemicolectomy followed by a transverse colostomy and a Hartman's pouch were performed. Pathological examination of the specimen revealed gastric adenocarcinoma arising from a Meckel's diverticulum in the ileum. Malignant transformation from a Meckel's diverticulum is an uncommon occurrence. This case illustrates that successful management of a symptomatic Meckel's diverticulum, even with malignant transformation, can be achieved by surgical resection.
Department of Surgery at Mount Sinai Hospital Medical Center, Finch University of Health Sciences/The Chicago Medical School, Illinois, USA.
P H
PH
Lin
A J
AJ
Koffron
T J
TJ
Heilizer
P
P
Theodoropoulus
D
D
Pasikhov
H J
HJ
Lujan
D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D002471:Cell Transformation, Neoplastic; D003082:Colectomy / Q000379:methods; D003125:Colostomy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008467:Meckel Diverticulum / Q000150:complications* / Q000473:pathology; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013274:Stomach Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery