A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckels diverticulum: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 3:7423

First Online: 23 July 2009Received: 17 March 2008Accepted: 02 February 2009DOI: 10.4076-1752-1947-3-7423

Cite this article as: Woolf, R., Blencowe, N., Muhammad, K. et al. J Med Case Reports 2009 3: 7423. doi:10.4076-1752-1947-3-7423

Abstract

IntroductionThis is the first reported case of perforation and haemorrhage of a Meckel-s diverticulum leading to the incidental finding of a gastrointestinal stromal tumour within the diverticulum. Meckel-s diverticulum is the most common congenital abnormality of the gastrointestinal tract, however, when symptomatic, it is often misdiagnosed at presentation. Common complications presenting in adults include bleeding, obstruction, diverticulitis and perforation. Tumours within a Meckel-s diverticulum are a rare but recognised complication. We discuss the management of a gastrointestinal tumour within the diverticulum.

Case presentationA 59-year-old Caucasian man presented with acute right iliac fossa pain with localized peritonism. At surgery, he was found to have a perforated and haemorrhagic Meckel-s diverticulum, associated with a gastrointestinal stromal tumour within the apex of the diverticulum. The absence of necrosis and a low mitotic rate indicated primary resection with subsequent computed tomography surveillance to be the most appropriate management strategy.

ConclusionWe report a unique triad of complications associated with the presentation of a Meckel-s diverticulum. This article reviews this common congenital abnormality and discusses the management of a gastrointestinal tumour. Meckel-s diverticulum will mimic other intra-abdominal pathologies in presentation and should therefore often be considered as a differential diagnosis.

AbbreviationsCRPC-reactive protein

CTcomputed tomography

GISTgastrointestinal stromal tumour.

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Autor: Richard Woolf - Natalie Blencowe - Karim Muhammad - David Paterson - Geoff Pye

Fuente: https://link.springer.com/







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