Perforated leiomyosarcoma of Meckel's diverticulum: report of a case.
We report herein a case of leiomyosarcoma of Meckel's diverticulum which presented as a rare manifestation of perforation. A previously healthy 63-year-old man was referred to the Tetsujinkai Eniwa hospital following the sudden development of acute abdominal pain. Abdominal computed tomography revealed a solid mass in the pelvic cavity, and an emergency operation was performed under a provisional diagnosis of peritonitis associated with a pelvic tumor. A perforated tumoral mass was found in Meckel's diverticulum. Segmental resection of the ileum, including the tumor-bearing diverticulum, was performed along with regional lymph node dissection. Histologic examination revealed the lesion to be leiomyosarcoma.
Nishibe
M
M
Department of Surgery, Tetsujinkai Eniwa Hospital, Hokkaido, Japan.
Nishibe
T
T
Yamashita
T
T
Kaji
M
M
Fukuhara
I
I
Yasuda
K
K
D006801:Humans; D007078:Ileal Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007416:Intestinal Perforation; D007890:Leiomyosarcoma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008197:Lymph Node Excision; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000601:surgery; D008875:Middle Aged