Leiomyoma in Meckel's diverticulum

• Published in: Gastroenterología y hepatología Vol. 35; no. 7; p. 476
• Main Authors: Pérez Moreiras, María Isabel, Alvarez Gutierrez, Ana Elisa, Couselo Villanueva, José Manuel, Iglesias Porto, Eva, González López, Rocío, Arija Val, Felix
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.08.2012
• Subjects: Abdomen, Acute - etiology; Adenocarcinoma; Aged; Delayed Diagnosis; Diagnostic Imaging; Humans; Ileal Neoplasms - complications; Ileal Neoplasms - diagnosis; Ileal Neoplasms - surgery; Intestinal Perforation - etiology; Leiomyoma - complications; Leiomyoma - diagnosis; Leiomyoma - surgery; Male; Meckel Diverticulum - pathology; Meckel Diverticulum - surgery; Neoplasms, Second Primary - complications; Neoplasms, Second Primary - diagnosis; Neoplasms, Second Primary - surgery; Peritonitis - etiology; Prostatic Neoplasms; Surgical Wound Infection - etiology
• ISSN: 0210-5705
• DOI: 10.1016/j.gastrohep.2012.01.014

Meckel's diverticulum (MD) is a persistent embryonic remnant occurring in 2% of the general population. This entity is usually clinically silent and is only discovered when complications occur. Diagnosis is rarely made preoperatively. Surgical resection of symptomatic MD is widely accepted but the most appropriate management of asymptomatic MD remains unclear. We present a case of MD that summarizes some of the complications that may occur. The peculiarity of this case was that the complications were caused by a leiomyoma. The presence of tumoral disease in MD accounts for 3.2% of complications. The most common neoplasm is carcinoid tumor. Few publications have reported benign neoplasms in MD, probably due to their low incidence.