Metwally Islam H, Elalfy Amr F, Awny Shadi, Megahed Nirmeen
Surgical Oncology Unit, Oncology Center Mansoura University, Mansoura, Egypt.
Surgical Oncology Unit, Oncology Center Mansoura University, Mansoura, Egypt.
J Egypt Natl Canc Inst. 2016 Jun;28(2):123-7. doi: 10.1016/j.jnci.2016.02.002. Epub 2016 Feb 27.
Meckel's diverticulum is a common congenital anomaly, mostly asymptomatic. Tumors may arise rarely in these diverticulae. We claim presenting a new problem to the medical staff in Egypt.
We report a case of a 49year old male patient who attended our center with pelvic mass insinuated between the bladder and the rectum. On exploration the mass was found arising at the tip of a Meckel's diverticulum, Gastro-intestinal stromal tumor (GIST) was confirmed by pathology.
In review of recently published cases most of these tumors were presented with vague abdominal pain as in our case. Tumors were treated by resection with or without adjuvant Imatinib.
Surgeons and oncologists should bear in mind this rare diagnosis and know how to treat it.
梅克尔憩室是一种常见的先天性异常，大多无症状。这些憩室中很少会发生肿瘤。我们声称这给埃及的医务人员带来了一个新问题。
我们报告一例49岁男性患者，因盆腔肿物就诊于我院，该肿物位于膀胱和直肠之间。探查发现肿物起源于梅克尔憩室的尖端，病理证实为胃肠道间质瘤（GIST）。
回顾近期发表的病例，大多数此类肿瘤如我们的病例一样表现为模糊的腹痛。肿瘤通过手术切除治疗，可联合或不联合伊马替尼辅助治疗。
外科医生和肿瘤学家应牢记这种罕见的诊断并知道如何治疗。
