伴有罕见胃肠道间质瘤的梅克尔憩室
Meckel Diverticulum Harboring a Rare Gastrointestinal Stromal Tumor.
作者信息
Berry Andrew C, Nakshabendi Rahman, Kanar Ozdemir, Hamer Sean
机构信息
Department of Medicine, University of South Alabama, Mobile, AL.
Department of Medicine, University of Florida College of Medicine, Jacksonville, FL.
出版信息
Ochsner J. 2017 Spring;17(1):121-123.
BACKGROUND
Tumors within a Meckel diverticulum are a rare complication observed in only 0.5%-3.2% of symptomatic cases. The majority of tumors are benign, but some malignant tumors, such as gastrointestinal stromal tumors (GISTs) can occur.
CASE REPORT
We report the case of a 48-year-old female who presented with severe abdominal pain and nausea and was found to have a GIST arising from a Meckel diverticulum.
CONCLUSION
The differential diagnosis of a pelvic mass in a middle-aged female presenting with gastrointestinal symptoms must remain broad. With an atypical presentation site, distinguishing benign tumors from malignant tumors such as GISTs is of paramount importance.
背景
梅克尔憩室内的肿瘤是一种罕见的并发症，仅在0.5%-3.2%的有症状病例中观察到。大多数肿瘤是良性的，但也可能发生一些恶性肿瘤，如胃肠道间质瘤（GIST）。
病例报告
我们报告一例48岁女性病例，该患者出现严重腹痛和恶心，经检查发现患有起源于梅克尔憩室的胃肠道间质瘤。
结论
对于出现胃肠道症状的中年女性盆腔肿块，鉴别诊断范围必须广泛。由于表现部位不典型，区分良性肿瘤与胃肠道间质瘤等恶性肿瘤至关重要。
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