A Case Report of Adenocarcinoma of Meckel's Diverticulum

Hiroyuki Kobayashi, Akitake Ide, Norihito Onishi, Kouzou Kubota, Hidetoshi Shiotzu*

Department of Surgery and Pathology* Musashino Red Cross Hospital

A case of adenocarcinoma of Meckel's diverticulum is reported. A 58-year-old male was admitted to our hospital because of abdominal pain and vomiting. A plain X-ray film showed bowei obstruction. Its location, however, was not revealed by contrast X-ray studies of an upper gastrointestinal series and the large bowel. Shortly after a transient remission, his bowel obstruction relapsed and laparotomy was done. A hen-egg sized tumor was found on the anti-mesenteric side of the ileum, 80 cm oral from Bauhin's valve and obstructing the intestinal lumen. Peritoneal dissemination was obserbed. Partial resection of the ileum including the main tumor was performed. Pathological examination of the resected specimen revealed that the tumor, showing poorly differentiated adenocarcinoma, arose from a genuine diverticulum, presumed to be Meckel's and occupied its entire cavity. There was neither ectopic gastric mucosa nor pancreatic tissue.

Key words
small intestinal carcinoma, Meckel's diverticulum

Reprint requests
Hiroyuki Kobayashi Department of Surgery, Musashino Red Cross Hospital
1-26-1 Kyonancho, Musashino, 180 JAPAN

Accepted
January 10, 1996

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