Pérez Moreiras María Isabel, Alvarez Gutierrez Ana Elisa, Couselo Villanueva José Manuel, Iglesias Porto Eva, González López Rocío, Arija Val Felix
Servicio de Cirugía General y del Aparato Digestivo, Hospital Lucus Augusti, Lugo, España.
Gastroenterol Hepatol. 2012 Aug-Sep;35(7):476-9. doi: 10.1016/j.gastrohep.2012.01.014. Epub 2012 Apr 4.
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.
梅克尔憩室(MD)是一种持续存在的胚胎残余物,在普通人群中的发生率为2%。该实体通常在临床上无明显症状,仅在出现并发症时才被发现。术前很少能做出诊断。有症状的MD的手术切除已被广泛接受,但无症状MD的最恰当处理仍不明确。我们报告一例MD病例,总结了可能发生的一些并发症。该病例的独特之处在于并发症是由平滑肌瘤引起的。MD中肿瘤性疾病导致的并发症占3.2%。最常见的肿瘤是类癌肿瘤。很少有出版物报道MD中的良性肿瘤,可能是因为其发病率较低。