A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel's diverticulum: a case report
<p>Abstract</p> <p>Introduction</p> <p>This is the first reported case of perforation and haemorrhage of a Meckel's diverticulum leading to the incidental finding of a gastrointestinal stromal tumour within the diverticulum. Meckel's diverticulum is the most c...
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doaj-aafc0c22d62741b69ddb166aadbf5b9e2020-11-25T00:49:00ZengBMCJournal of Medical Case Reports1752-19472009-07-0131742310.4076/1752-1947-3-7423A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel's diverticulum: a case reportWoolf RichardBlencowe NatalieMuhammad KarimPaterson DavidPye Geoff<p>Abstract</p> <p>Introduction</p> <p>This is the first reported case of perforation and haemorrhage of a Meckel's diverticulum leading to the incidental finding of a gastrointestinal stromal tumour within the diverticulum. Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract, however, when symptomatic, it is often misdiagnosed at presentation. Common complications presenting in adults include bleeding, obstruction, diverticulitis and perforation. Tumours within a Meckel's diverticulum are a rare but recognised complication. We discuss the management of a gastrointestinal tumour within the diverticulum.</p> <p>Case presentation</p> <p>A 59-year-old Caucasian man presented with acute right iliac fossa pain with localized peritonism. At surgery, he was found to have a perforated and haemorrhagic Meckel's diverticulum, associated with a gastrointestinal stromal tumour within the apex of the diverticulum. The absence of necrosis and a low mitotic rate indicated primary resection with subsequent computed tomography surveillance to be the most appropriate management strategy.</p> <p>Conclusion</p> <p>We report a unique triad of complications associated with the presentation of a Meckel's diverticulum. This article reviews this common congenital abnormality and discusses the management of a gastrointestinal tumour. Meckel's diverticulum will mimic other intra-abdominal pathologies in presentation and should therefore often be considered as a differential diagnosis.</p> http://www.jmedicalcasereports.com/content/3/1/7423 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Woolf Richard Blencowe Natalie Muhammad Karim Paterson David Pye Geoff |
spellingShingle |
Woolf Richard Blencowe Natalie Muhammad Karim Paterson David Pye Geoff A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel's diverticulum: a case report Journal of Medical Case Reports |
author_facet |
Woolf Richard Blencowe Natalie Muhammad Karim Paterson David Pye Geoff |
author_sort |
Woolf Richard |
title |
A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel's diverticulum: a case report |
title_short |
A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel's diverticulum: a case report |
title_full |
A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel's diverticulum: a case report |
title_fullStr |
A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel's diverticulum: a case report |
title_full_unstemmed |
A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel's diverticulum: a case report |
title_sort |
gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a meckel's diverticulum: a case report |
publisher |
BMC |
series |
Journal of Medical Case Reports |
issn |
1752-1947 |
publishDate |
2009-07-01 |
description |
<p>Abstract</p> <p>Introduction</p> <p>This is the first reported case of perforation and haemorrhage of a Meckel's diverticulum leading to the incidental finding of a gastrointestinal stromal tumour within the diverticulum. Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract, however, when symptomatic, it is often misdiagnosed at presentation. Common complications presenting in adults include bleeding, obstruction, diverticulitis and perforation. Tumours within a Meckel's diverticulum are a rare but recognised complication. We discuss the management of a gastrointestinal tumour within the diverticulum.</p> <p>Case presentation</p> <p>A 59-year-old Caucasian man presented with acute right iliac fossa pain with localized peritonism. At surgery, he was found to have a perforated and haemorrhagic Meckel's diverticulum, associated with a gastrointestinal stromal tumour within the apex of the diverticulum. The absence of necrosis and a low mitotic rate indicated primary resection with subsequent computed tomography surveillance to be the most appropriate management strategy.</p> <p>Conclusion</p> <p>We report a unique triad of complications associated with the presentation of a Meckel's diverticulum. This article reviews this common congenital abnormality and discusses the management of a gastrointestinal tumour. Meckel's diverticulum will mimic other intra-abdominal pathologies in presentation and should therefore often be considered as a differential diagnosis.</p> |
url |
http://www.jmedicalcasereports.com/content/3/1/7423 |
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