Lesquereux-Martínez Lucía, Macías-García Fernando, Beiras-Sarasquete Carolina, Martínez-Castro Jorge Juan, Paulos-Gómez Ana María, Beiras-Torrado Alejandro, Bustamante-Montalvo Manuel
Servicio de Cirugía General y del Aparato Digestivo, Complexo Hospitalario Universitario de Santiago de Compostela, La Coruña, España.
Gastroenterol Hepatol. 2011 Mar;34(3):137-40. doi: 10.1016/j.gastrohep.2010.11.006. Epub 2011 Mar 3.
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. The presence of malignant lesions arising in the diverticulum is very rare, the most common malignant lesion being sarcoma, followed by carcinoid tumors, and less frequently by adenocarcinomas. We present the case of an 86-year-old man who developed acute abdomen. Surgery revealed a perforated Meckel's diverticulum. Histology identified a poorly-differentiated adenocarcinoma arising in Meckel's diverticulum. We provide a review of the literature.
梅克尔憩室是胃肠道最常见的先天性异常。憩室内发生恶性病变非常罕见，最常见的恶性病变是肉瘤，其次是类癌肿瘤，腺癌则较少见。我们报告一例86岁男性发生急腹症的病例。手术发现梅克尔憩室穿孔。组织学检查确定为起源于梅克尔憩室的低分化腺癌。我们提供了文献综述。
