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A rare case of perforated Meckel's diverticulum presenting as a gatrointestinal stromal tumor

Selim Sozen1, Ömer Tuna

  • 1Kayseri Training and Research Hospital, Department of General Surgery, Kayseri, Turkey. selimsozen63@yahoo.com

Archives of Iranian Medicine
|April 24, 2012
PubMed

Insights

Gastrointestinal stromal tumors (GISTs) are a rare complication of Meckel's diverticulum. This case highlights surgical resection as the standard treatment for non-metastatic GISTs.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Meckel's diverticulum, a congenital anomaly resulting from incomplete closure of the omphalomesenteric duct, is typically located on the antimesentric border of the ileum.
  • While common complications include bleeding, obstruction, diverticulitis, and perforation, tumors are a rare occurrence.

Observation:

  • A 62-year-old woman presented with abdominal pain, localized tenderness, and peritonism, indicative of a perforated Meckel's diverticulum.
  • Surgical exploration revealed a perforated Meckel's diverticulum with associated intra-abdominal fluid and hemorrhage, along with a 25 mm nodule at its apex.

Findings:

  • Histopathological examination of the resected lesion confirmed the presence of a gastrointestinal stromal tumor (GIST).
  • Gastrointestinal stromal tumors arising from Meckel's diverticulum are an extremely rare complication.

Implications:

  • Surgical resection with clear margins is the standard treatment for non-metastatic GISTs.
  • This case underscores the importance of considering rare complications like GISTs in the differential diagnosis of Meckel's diverticulum presentations.

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