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

• Published in: Journal of Egyptian National Cancer Institute Vol. 28; no. 2; pp. 123 - 127
• Main Authors: Metwally, Islam H., Elalfy, Amr F., Awny, Shadi, Megahed, Nirmeen
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Elsevier B.V 01.06.2016; Cairo University, National Cancer Institute; SpringerOpen
• Subjects: Antineoplastic Agents - therapeutic use; Biopsy; Chemotherapy, Adjuvant; Diagnosis, Differential; Digestive System Surgical Procedures; Diverticulectomy; Egypt; Gastrointestinal Stromal Tumors - diagnosis; Gastrointestinal Stromal Tumors - pathology; Gastrointestinal Stromal Tumors - therapy; GIST; Humans; Ileal Neoplasms - diagnosis; Ileal Neoplasms - pathology; Ileal Neoplasms - therapy; Imatinib Mesylate - therapeutic use; Male; Meckel; Meckel Diverticulum - complications; Meckel Diverticulum - surgery; Middle Aged; Neurilemmoma - diagnosis; Pelvic Pain - etiology; Tomography, X-Ray Computed; Ultrasonography; Meckel; GIST; Diverticulectomy
• ISSN: 1110-0362; 1687-9996; 2589-0409
• DOI: 10.1016/j.jnci.2016.02.002

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