Kusumoto H, Yoshitake H, Mochida K, Kumashiro R, Sano C, Inutsuka S
Second Department of Surgery, School of Medicine, Fukuoka University, Japan.
Am J Gastroenterol. 1992 Jul;87(7):910-3.
A 54-yr-old man who complained of abdominal pain was found to have an adenocarcinoma arising in Meckel's diverticulum, as preoperatively diagnosed with 99mTc-pertechnetate scintigraphy. Angiography of the superior mesenteric artery revealed multiple branched arteries and tumor stain, but the vitelline artery was not clearly identified. Surgery revealed that the tumor had invaded the urinary bladder and the ileum, including the diverticulum, and the bladder had to be partially resected. Histopathological examination of the lesion revealed a diverticulum containing normal small bowel mucosa, ectopic normal gastric tissue, and adenocarcinoma. In a review of 30 cases of adenocarcinoma in Meckel's diverticulum in the English and Japanese literature, our case was the first to be diagnosed preoperatively.
一名54岁男性因腹痛就诊，术前经99mTc-高锝酸盐闪烁扫描诊断为梅克尔憩室腺癌。肠系膜上动脉血管造影显示有多支分支动脉及肿瘤染色，但卵黄动脉未明确显示。手术发现肿瘤侵犯膀胱及包括憩室在内的回肠，膀胱不得不部分切除。病变的组织病理学检查显示憩室内含有正常小肠黏膜、异位正常胃组织及腺癌。回顾英文和日文文献中30例梅克尔憩室腺癌病例，我们的病例是首例术前确诊的。
