Meckel's diverticulum complicated with gastro-intestinal stromal tumor: Case report

J Egypt Natl Canc Inst. 2016 Jun;28(2):123-7. doi: 10.1016/j.jnci.2016.02.002. Epub 2016 Feb 27.

Abstract

Introduction: Meckel's diverticulum is a common congenital anomaly, mostly asymptomatic. Tumors may arise rarely in these diverticulae. We claim presenting a new problem to the medical staff in Egypt.

Case presentation: We report a case of a 49year old male patient who attended our center with pelvic mass insinuated between the bladder and the rectum. On exploration the mass was found arising at the tip of a Meckel's diverticulum, Gastro-intestinal stromal tumor (GIST) was confirmed by pathology.

Discussion: In review of recently published cases most of these tumors were presented with vague abdominal pain as in our case. Tumors were treated by resection with or without adjuvant Imatinib.

Conclusion: Surgeons and oncologists should bear in mind this rare diagnosis and know how to treat it.

Keywords: Diverticulectomy; GIST; Meckel.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Biopsy
  • Chemotherapy, Adjuvant
  • Diagnosis, Differential
  • Digestive System Surgical Procedures*
  • Egypt
  • Gastrointestinal Stromal Tumors / diagnosis*
  • Gastrointestinal Stromal Tumors / pathology
  • Gastrointestinal Stromal Tumors / therapy
  • Humans
  • Ileal Neoplasms / diagnosis*
  • Ileal Neoplasms / pathology
  • Ileal Neoplasms / therapy
  • Imatinib Mesylate / therapeutic use
  • Male
  • Meckel Diverticulum / complications*
  • Meckel Diverticulum / surgery
  • Middle Aged
  • Neurilemmoma / diagnosis*
  • Pelvic Pain / etiology
  • Tomography, X-Ray Computed
  • Ultrasonography

Substances

  • Antineoplastic Agents
  • Imatinib Mesylate