A clinically-occult gastrointestinal stromal tumor in a Meckel's diverticulum presenting as hollow organ perforation
Journal
Chang Gung Medical Journal
Journal Volume
34
Journal Issue
SUPPL. 6
Pages
56-61
Date Issued
2011
Author(s)
Abstract
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. However, a neoplasm is a rare complication of Meckel's diverticulum. We report a case of a ruptured gastrointestinal stromal tumor (GIST) in a Meckel's diverticulum, presenting as hollow organ perforation, in a 76 year-old woman. To our knowledge, the case we presented here is the 6th report describing a perforated GIST within a Meckel's diverticulum. In addition, the diverticular neoplasm in our case was clinically occult because of an unusual tumor configuration. Since the treatment of asymptomatic Meckel's diverticula remains controversial, our case raises suspicion that managing asymptomatic Meckel's diverticula by pure observation may leave some clinically occult diverticular neoplasms untreated. The role of prophylactic diverticulectomy requires further evaluation.
Subjects
Diverticular neoplasm; Gastrointestinal stromal tumor (GIST); Hollow organ perforation; Meckel's diverticulum
SDGs
Other Subjects
eosin; hematoxylin; abdominal cramp; abdominal pain; aged; article; case report; computer assisted tomography; diarrhea; female; gastrointestinal stromal tumor; giant cell; human; ileum resection; immunohistochemistry; intestine anastomosis; intestine hematoma; intestine perforation; laparoscopy; Meckel diverticulum; occult cancer; tumor necrosis; vomiting; cancer invasion; differential diagnosis; gastrointestinal tumor; intestine perforation; laparotomy; Meckel diverticulum; methodology; nuclear magnetic resonance imaging; pathology; Aged; Diagnosis, Differential; Female; Gastrointestinal Neoplasms; Gastrointestinal Stromal Tumors; Humans; Intestinal Perforation; Laparotomy; Magnetic Resonance Imaging; Meckel Diverticulum; Neoplasm Invasiveness; Tomography, X-Ray Computed
Type
journal article