A rare case of complicated Meckel’s diverticulum. Case report and images.

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COD: 06_2010_449-452 Categorie: ,

Marco Caricato, Giuseppe Mangiameli, Federica Miccadei, Gianfranco Bulzomi, Roberto Coppola

Ann. Ital. Chir., 2010 81: 449-451

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INTRODUCTION: Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal
tract, and account for 0.1%-1% of gastrointestinal malignancies. Meckel’s diverticulum (MD) is the most prevalent
congenital abnormality of the gastrointestinal tract (0.3%-4.0%).
DISCUSSION: Their clinical presentation is strongly related to the occurrence of complications or the development of a
neoplasm. Tumors and perforation of MD are infrequent.
The case presented here is to our knowledge the fourth published case of a small intestine GIST causing perforation of
the Meckel’s diverticulum.
CONCLUSION: Although there is no compelling evidence in the current literature to support prophylactic diverticulectomy
for patients with MD, our and other similar cases could justify the use of simple laparoscopic tangential resection during
elective operations for healthy patients.