scholarly journals Gastrointestinal stromal tumor in perforated Meckel’s diverticulum: a case report and literature review

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Naoki Hashizume ◽  
Saki Sakamoto ◽  
Suguru Fukahori ◽  
Shinji Ishii ◽  
Nobuyuki Saikusa ◽  
...  
Keyword(s):  
Small Bowel ◽  
Gastrointestinal Stromal Tumor ◽  
Meckel’S Diverticulum ◽  
Ileocecal Valve ◽  
Meckel's Diverticulum ◽  
Stromal Tumor ◽  
Free Air ◽  
Meckel’S Diverticulitis ◽  
Colon And Rectum ◽  
Enhanced Computed Tomography

Abstract Introduction Gastrointestinal stromal tumor (GIST) is rare neoplasms of the gastrointestinal tract associated with high rates of malignant transformation. GIST has been found largely in the stomach, small bowel, colon and rectum, and esophagus, but about 5% are found in other locations. We herein report a 56-year-old woman with a GIST in perforated Meckel's diverticulum. After encountering this patient, a review of the literature found reports of 18 similar patients. Case presentation A 56-year-old woman diagnosed with galactosialidosis (β-galactosidase-neuraminidase deficiency) presented with vomiting. On contrast-enhanced computed tomography, peritonitis due to perforation of the intestine was diagnosed based on the free air and dilated loop of the small bowel. Laparotomy revealed perforation of Meckel’s diverticulitis located 50 cm from the ileocecal valve. Partial resection of the ileum, including the diverticulum, and end-to-end anastomosis of the small intestine were performed. Regarding the pathological findings, the edge of the diverticulum wall consisted of a solid mass measuring 1.0 cm in size, and the tumor cells were spindle-shaped with 1 mitosis present per 50 high-power fields. The diagnosis was established as GIST of the Meckel's diverticulum. The postoperative period was uneventful. Follow-up at two years revealed no evidence of recurrence. Conclusion GIST in perforated Meckel's diverticulum is very rare. The potential for the coexistence of GIST or other tumor should be considered in the treatment of perforated Meckel's diverticulum.

scholarly journals A Rare Cause of Abdominal Pain in Adults: Meckel’s Diverticulitis

2018 ◽  
Vol 12 (3) ◽  
pp. 709-714 ◽  
Author(s):  
Usman Pirzada ◽  
Hassan Tariq ◽  
Sara Azam ◽  
Kishore Kumar ◽  
Anil Dev
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Emergency Laparotomy ◽  
Contrast Enhanced ◽  
Meckel’S Diverticulitis ◽  
The Right ◽  
Enhanced Computed Tomography

A 42-year-old man presented to the emergency room with complaints of periumbilical abdominal pain. A contrast-enhanced computed tomography revealed mucosal thickening in the small bowel of the right abdomen. There was a fairly large small bowel diverticulum associated with this segment. Findings were suggestive of small bowel diverticulitis or possibly focal enteritis. A Meckel’s diverticulum scan was diagnostic of Meckel’s diverticulum. The patient was then immediately taken to the operating room for emergency laparotomy and was intra-operatively found to have a thickened Meckel’s diverticulitis with adjacent small bowel obstruction. Meckel’s diverticulectomy was performed in continuity with the adjacent inflamed small bowel. The patient had a stable postoperative course without any complications and was discharged within 10 days. At the 3-month follow-up, the patient was well and remained asymptomatic.

Perforated gastrointestinal stromal tumor in Meckel's diverticulum treated laparoscopically

2013 ◽  
Vol 6 (2) ◽  
pp. 126-129 ◽  
Author(s):  
Eudaldo M. López-Tomassetti Fernández ◽  
Juan Ramón Hernández Hernández ◽  
Valentin Nuñez Jorge
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Stromal Tumor

scholarly journals Concurrent intestinal malrotation and Meckel's diverticulum presenting as acute intestinal obstruction in an adult

2021 ◽  
Vol 8 (6) ◽  
pp. 1904
Author(s):  
Aishwarya Emerald Manohar ◽  
M. S. Kalyan Kumar ◽  
V. Vijayalakshmi ◽  
R. Kannan
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Meckel’S Diverticulum ◽  
Postoperative Recovery ◽  
Meckel's Diverticulum ◽  
Intestinal Malrotation ◽  
Emergency Laparotomy ◽  
Meckel’S Diverticulitis ◽  
Subacute Intestinal Obstruction

Intestinal malrotation is the partial or complete failure of rotation of midgut around the superior mesenteric artery, while Meckel’s diverticulum is the remnant of vitellointestinal duct and concurrence of these congenital abnormalities in an adult is considered a rarity. Till date only 3 cases of concurrent intestinal malrotation and Meckel's diverticulum have been reported. We report a 18 years male who presented with a 3 day history of abdominal pain, bilious vomiting, obstipation and chronic abdominal pain on and off since 3 years of age. During the last episode which occurred 1 year back, he was diagnosed with intestinal malrotation with subacute intestinal obstruction and was treated conservatively. Examination revealed the presence of signs of peritonitis. After resuscitation, CECT abdomen was taken which showed dilated small bowel loops in the subhepatic region associated with malrotation. Emergency laparotomy revealed a Ladd's band below which the gangrenous small bowel loops 150 cm from the duodenojejunal (flexure until 5 cm proximal to the ileocecal junction) were found herniating into the subhepatic region with a Meckel’s diverticulum and a right sided DJ flexure. We proceeded with the band release and resection of gangrenous bowel followed by proximal jejunostomy with distal ileostomy. HPE was consistent with Meckel’s diverticulitis without any ectopic gastric or pancreatic mucosa. Ostomy reversal was done after 8 weeks. Patient had an uneventful postoperative recovery during both the admissions and he is on regular follow-up now.

scholarly journals Meckel’s diverticulitis causing small bowel obstruction by a novel mechanism

2011 ◽  
Vol 1 (3) ◽  
pp. 51
Author(s):  
Vishalkumar G. Shelat ◽  
Kaiwen Kelvin Li ◽  
Anil Rao ◽  
Tay Sze Guan
Keyword(s):  
Small Bowel ◽  
General Population ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Meckel’S Diverticulum ◽  
Symptomatic Patient ◽  
Paediatric Population ◽  
Meckel's Diverticulum ◽  
Common Presentation ◽  
Meckel’S Diverticulitis

Meckel’s diverticulum occurs in 2% of the general population and majority of patients remain asymptomatic. Gastrointestinal bleeding is the most common presentation in the paediatric population. While asymptomatic and incidentally found Meckel’s diverticulum may be left alone, surgery is essential for treating a symptomatic patient. Despite advances in imaging and technology, pre-operative diagnosis is often difficult. We present a first report of an unusual mechanism of small bowel obstruction due to Meckel’s diverticulitis in a paediatric patient. The diagnosis was only apparent at laparotomy.

scholarly journals Gastrointestinal stromal tumor arising from meckel's diverticulum ^|^mdash;report of a case^|^mdash;

2011 ◽  
Vol 72 (12) ◽  
pp. 3075-3079
Author(s):  
Tadashi OHNISHI ◽  
Toshiyuki KANOH ◽  
Katsuki DANNO ◽  
Sakae EJIMA ◽  
Takushi MONDEN ◽  
...  
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Stromal Tumor
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