title: Dual pathology in a patient with right lower quadrant pain.
abstract: Meckel diverticula are remnants of the omphalomesenteric duct. They have 2% incidence in the general population, are usually asymptomatic, and tend to be diagnosed incidentally. The generally held principle had been that asymptomatic cases do not require resection, as exemplified by a 2008 systematic review of over 200 studies. However, a recent series reported an increased risk of malignancies, and recommended mandatory resection. We present a case of Meckel diverticulitis with concurrent infiltrative appendiceal carcinoid in a patient with right lower quadrant pain.
authors.affiliation: Department of Surgery, Hofstra North Shore-Long Island Jewish Health System, Manhasset, New York.
authors.forename: Gary B
authors.initials: GB
authors.lastname: Deutsch
authors.forename: Sandeep Anantha
authors.initials: SA
authors.lastname: Sathyanarayana
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Nicastro
authors.forename: Ernesto
authors.initials: E
authors.lastname: Molmenti
authors.forename: Gene
authors.initials: G
authors.lastname: Coppa
authors.forename: Eugene
authors.initials: E
authors.lastname: Rubach
authors.forename: Barak
authors.initials: B
authors.lastname: Friedman
keywords: Meckel diverticulitis; abdominal pain; appendix; carcinoid; diverticulitis; malignancy; resection