Stifter Sanja, Mustac Elvira, Lukanović Miljenko, Lukanović Silvija, Fudurić Jurica, Zadro Ana Sostarić, Zadro Zvonko
University of Rijeka, School of Medicine, Department of Pathology, Rijeka, Croatia.
Coll Antropol. 2012 Jun;36(2):669-71.
This case reports the concomitant and unexpected finding of carcinoid tumour within a Meckel's diverticulum presenting as an acute abdomen due to gangrenous appendicitis in a young adult male. Both Meckel's diverticula and carcinoid tumour are rare clinical entities, and carcinoid tumours occurring within a Meckel's diverticulum are even more uncommon. The initial clinical presentation of carcinoid tumours occurring in a Meckel's diverticulum is usually similar to that of appendicle carcinoids.Carcinoid tumours are the most common primary tumour of the small bowel. They resemble appendicle carcinoids to the extent that they are usually small, single, and asymptomatic. Surgical treatment of Meckel's diverticula is recommended procedure. By presenting this case we wished to stress the value of systematic identification and removal of the diverticulum during laparotomy and to underline the importance of exploration the Meckel's diverticulum particularly in case of young adult subjects.
本病例报告了一名年轻成年男性因坏疽性阑尾炎表现为急腹症，在梅克尔憩室内意外同时发现类癌肿瘤。梅克尔憩室和类癌肿瘤都是罕见的临床实体，而发生在梅克尔憩室内的类癌肿瘤更为罕见。梅克尔憩室内发生的类癌肿瘤的初始临床表现通常与阑尾类癌相似。类癌肿瘤是小肠最常见的原发性肿瘤。它们与阑尾类癌相似，通常体积小、单发且无症状。推荐对梅克尔憩室进行手术治疗。通过展示此病例，我们希望强调在剖腹手术期间系统识别和切除憩室的价值，并强调探查梅克尔憩室的重要性，尤其是在年轻成年患者中。
