Ranjbar Tara, Robles Jeffrey, Rogando Dillon, Ahmed Adham, Mukharjee Sourodip, Clarke Erika, Antony Crystal, Liu Kalena H, Patel Dhruv, Mukherjee Indraneil
General Surgery, Staten Island University Hospital, New York, USA.
General Surgery, City University of New York (CUNY) School of Medicine, New York, USA.
Cureus. 2024 Jul 4;16(7):e63834. doi: 10.7759/cureus.63834. eCollection 2024 Jul.
Meckel's diverticulum, a true diverticulum originating from the incomplete closure of the vitelline duct during embryologic development, rarely presents with carcinoid tumors. The coexistence of a Meckel's diverticulum and carcinoid tumor following laparoscopic sigmoid colectomy for diverticulitis is an uncommon phenomenon, with limited documented cases in the literature. We present a case of a 74-year-old male with a past medical history of hypertension and diverticulitis who underwent a laparoscopic sigmoid colectomy for dysplastic and cancerous changes of a polyp revealed during a screening colonoscopy. Initially, the patient's postoperative journey was uneventful with the resumption of regular bowel movements and favorable diet progression. However, he later presented to the emergency department for worsening abdominal pain and distension. Imaging prompted surgical intervention due to perforation and obstruction, resulting in the identification of a carcinoid tumor within a perforated Meckel's diverticulum. This case highlights the intricate challenges of postoperative complications, particularly the unexpected emergence of Meckel's diverticulum pathology following a colectomy. The atypical presentation, featuring a carcinoid tumor within a perforated Meckel's diverticulum, underscores the importance of evaluating abdominal symptoms postoperatively.
梅克尔憩室是一种真正的憩室，起源于胚胎发育过程中卵黄管的不完全闭合，很少出现类癌肿瘤。在因憩室炎行腹腔镜乙状结肠切除术后，梅克尔憩室与类癌肿瘤并存是一种罕见现象，文献中记载的病例有限。我们报告一例74岁男性，既往有高血压和憩室炎病史，因筛查结肠镜检查发现息肉有发育异常和癌变而接受腹腔镜乙状结肠切除术。最初，患者术后恢复顺利，排便规律，饮食进展良好。然而，他后来因腹痛和腹胀加重到急诊科就诊。影像学检查提示因穿孔和梗阻需手术干预，结果在一个穿孔的梅克尔憩室内发现了类癌肿瘤。该病例突出了术后并发症的复杂挑战，尤其是结肠切除术后意外出现的梅克尔憩室病变。穿孔的梅克尔憩室内存在类癌肿瘤这一非典型表现，强调了术后评估腹部症状的重要性。
