Gastric Adenocarcinoma of Meckel's Diverticulum as a Cause of Colonic Obstruction

Lin, Peter H.; Koffron, Alan J.; Heilizer, Timothy J.; Theodoropoulus, Philip; Pasikhov, Demetri; Lujan, Henry J.
July 2000
American Surgeon;Jul2000, Vol. 66 Issue 7, p627
Academic Journal
A 45-year-old-female patient with no prior surgical history presented with bowel obstruction. At laparotomy, a bulky tumor arising from the ileum, which completely obstructed the sigmoid colon, was found. A left hemicolectomy followed by a transverse colostomy and a Hartman's pouch were performed. Pathological examination of the specimen revealed gastric adenocarcinoma arising from a Meckel's diverticulum in the ileum. Malignant transformation from a Meckel's diverticulum is an uncommon occurrence. This case illustrates that successful management of a symptomatic Meckel's diverticulum, even with malignant transformation, can be achieved by surgical resection.


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