de la Morena López Felipe, Fernández-Salazar Luis, Velayos Benito, Aller Rocío, Juárez Moisés, González José Manuel
Servicio de Aparato Digestivo. Hospital Universitario de la Princesa. Madrid. España.
Gastroenterol Hepatol. 2007 Nov;30(9):534-7. doi: 10.1157/13111691.
Meckel's diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract. Bleeding from Meckel's diverticulum is the most common clinical presentation, especially in childhood. In adults, manifestations include a broad spectrum of symptoms ranging from an incidental finding in surgery, iron deficiency anemia of unknown etiology, and acute abdomen due to mechanical complications of the diverticulum. Neoplastic transformation has been reported, but gastrointestinal stromal tumors are exceptional in this location. We report a case of gastrointestinal stromal tumor in Meckel's diverticulum, complicated by perforation.
梅克尔憩室是胃肠道最常见的先天性异常。梅克尔憩室出血是最常见的临床表现,尤其在儿童期。在成人中,其表现包括从手术中的偶然发现、病因不明的缺铁性贫血到憩室机械性并发症导致的急腹症等广泛的症状。虽然已有关于肿瘤转化的报道,但胃肠道间质瘤在这个部位较为罕见。我们报告一例梅克尔憩室内发生的胃肠道间质瘤,并发穿孔。