Pandiaraja Jayabal
Senior Resident, Department of General Surgery, Govt. Stanley Medical College and Hospital , Chennai, Tamilnadu, India .
J Clin Diagn Res. 2015 Nov;9(11):PD13-4. doi: 10.7860/JCDR/2015/14110.6825. Epub 2015 Nov 1.
Meckel's diverticulum is a true diverticulum from remnant of vitelline duct. It is most common congenital anomaly of intestine. It is associated with intestinal atresia and anorectal anomalies. It contains heterotrophic epithelium. Most common heterotrophic mucosa is gastric followed by pancreatic tissue. Adenocarcinoma arising from Meckel's diverticulum is very rare. Spontaneous perforation of adenocarcinoma rarely reported. Most of perforation reported in Meckel's diverticulum diagnosed during intraoperative period. This is a case report of spontaneous rupture of adenocarcinoma of Meckel's diverticulum, which was managed with primary resection and ileostomy.
梅克尔憩室是卵黄管残余形成的真性憩室。它是肠道最常见的先天性异常。它与肠闭锁和肛门直肠畸形有关。它含有异位上皮。最常见的异位黏膜是胃黏膜,其次是胰腺组织。起源于梅克尔憩室的腺癌非常罕见。腺癌自发性穿孔鲜有报道。大多数梅克尔憩室穿孔是在术中诊断出来的。本文报告一例梅克尔憩室腺癌自发性破裂的病例,该病例采用了一期切除和回肠造口术进行治疗。