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Is an Incidental Meckel's Diverticulum Truly Benign?

Caroline C Jadlowiec1, Jennifer Bayron1, William T Marshall2

  • 1University of Connecticut Integrated General Surgery Residency Program, Farmington, CT 06030, USA.

Case Reports in Surgery
|March 5, 2015
PubMed

Insights

The surgical management of asymptomatic Meckel

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Meckel's diverticulum is the most common congenital gastrointestinal abnormality, affecting ~2% of the population.
  • The management of asymptomatic Meckel's diverticulum in adults is controversial due to low symptomatic risk versus minimal resection risk.

Purpose of the Study:

  • To evaluate the management of incidentally discovered Meckel's diverticulum in an elderly patient.
  • To discuss the implications of finding a carcinoid tumor within Meckel's diverticulum.

Main Methods:

  • Case report of an elderly patient requiring emergent surgery.
  • Incidental intraoperative finding of Meckel's diverticulum.
  • Pathological review of the resected diverticulum.

Main Results:

  • Meckel's diverticulum was incidentally found during emergent surgery in an elderly patient.
  • Final pathology revealed a carcinoid tumor within the resected Meckel's diverticulum.
  • Carcinoid tumors in Meckel's diverticulum are a rare occurrence.

Conclusions:

  • The incidental finding of Meckel's diverticulum with a carcinoid tumor supports its resection, even when asymptomatic.
  • This case suggests that resection of incidentally found Meckel's diverticulum may be warranted in patients of all ages.
  • Further research into the incidence and management of Meckel's diverticulum with associated tumors is needed.

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