Intestinal adenocarcinoma originating from an undiagnosed Meckel's diverticulum

Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:2022

Enthalten in:

Journal of surgical case reports - 2022(2022), 5 vom: 04. Mai, Seite rjac128

Sprache:

Englisch

Beteiligte Personen:

Principe, Daniel R [VerfasserIn]
Nesper, Peter [VerfasserIn]
Metropulos, Anastasia E [VerfasserIn]
Rubin, Jonathan [VerfasserIn]
Marinov, Marin N [VerfasserIn]

Links:

Volltext

Themen:

Adenocarcinoma
Case Reports
Emergency surgery
GI surgery
Meckel’s diverticulum

Anmerkungen:

Date Revised 16.07.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1093/jscr/rjac128

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM341334235