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Incidental Meckel's Diverticulum With Neuroendocrine Tumor
Clarissa K Chan1, Tiffany Pham2, Yash V Bhagat3,4
1Surgery, NorthBay Medical Center, Fairfield, USA.
Cureus
|September 8, 2022
Summary
This case report highlights a neuroendocrine tumor found in an incidentally discovered Meckel
Area of Science:
- Gastroenterology
- Surgical Pathology
- Oncology
Background:
- Meckel's diverticulum (MD) is the most common congenital small bowel anomaly.
- Symptomatic MD requires resection, but prophylactic excision of incidental MDs in adults is debated.
- Aging reduces MD complication risks but increases the chance of malignancy, like neuroendocrine tumors.
Observation:
- An incidental Meckel's diverticulum was found during surgery for acute sigmoid diverticulitis in an adult male.
- Biopsy revealed a grade 1 neuroendocrine tumor within the incidentally found Meckel's diverticulum.
Findings:
- The incidental Meckel's diverticulum contained a neuroendocrine tumor.
- Resection of incidental MDs may be warranted due to the risk of malignant transformation.
Implications:
- Prophylactic resection of incidental Meckel's diverticula in adults can be considered.
- Early detection and resection mitigate risks associated with neuroendocrine tumors arising from MDs.
- This case supports individualized risk-benefit assessment for incidental MD management.
