Ectopic pancreatic-type malignancy presenting in a Meckel's diverticulum: a case report and review of the literature.
BACKGROUND
Neoplasms arising from Meckel's diverticulae reported in the literature are mainly carcinoid tumours, gastrointestinal stromal tumours, and gastric or intestinal adenocarcinomas.


METHODS
We describe a 50-year-old man who presented with rectal bleeding and anaemia, later found to be caused by a pancreatic adenocarcinoma arising from ectopic pancreatic tissue in a Meckel's diverticulum. The tumour was unfortunately highly aggressive, and the patient passed away within 5 months of symptom onset.


CONCLUSIONS
We believe this is the first case of pancreatic adenocarcinoma in a Meckel's diverticulum to be reported in the literature. The diagnosis of Meckel's should be considered in patients with acute gastrointestinal complaints; when found incidentally at laparotomy, it should be carefully examined for any gross abnormality and resection should be considered.
Koh
Hoey C
HC
Department of Clinical Surgery, Gartnavel General Hospital, 1053 Great Western Road, Glasgow G12 0YN, UK. kohhc@doctors.org.uk
Page
Blaithin
B
Black
Catherine
C
Brown
Ian
I
Ballantyne
Stuart
S
Galloway
David J
DJ
D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology; D002828:Choristoma / Q000150:complications*; D006801:Humans; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications*; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000209:etiology* / Q000473:pathology