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An Extremely Rare Presentation of Mucinous Adenocarcinoma Originating From Meckel Diverticulum Masquerading in a Young Woman With Crohn's Disease.

作者信息

Fawaris Nada, Shariq Sohail, Elnaggar Mohamed, Kubba Faris, Haria Rashmi

机构信息

Ealing Hospital, London Northwest University Healthcare NHS Trust, London, UK.

St. Mark's Hospitals, London Northwest University Healthcare NHS Trust, London, UK.

出版信息

ACG Case Rep J. 2024 Sep 12;11(9):e01487. doi: 10.14309/crj.0000000000001487. eCollection 2024 Sep.

DOI:10.14309/crj.0000000000001487
PMID:39267620
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11392474/
Abstract

Mucinous adenocarcinoma with signet cell features originating from Meckel diverticulum (MD) is an extremely rare primary malignant tumor. A woman in her 30s presented with multiple episodes of vomiting, abdominal pain, and constipation. She had a history of stricturing Crohn's disease and managed well with steroids, azathioprine, and infliximab. This time, a computed tomography scan showed distal ileal small-bowel obstruction. Urgent surgery for a nonsettling small bowel obstruction was performed. MD was incidentally found and was concerning for malignancy. This case report illustrates how this extremely rare malignancy was behaving like Crohn's disease, which delayed the diagnosis and treatment.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/4a3e304d7a1d/ac9-11-e01487-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/934531b00681/ac9-11-e01487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/49f8ac7491ad/ac9-11-e01487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/23d76c963269/ac9-11-e01487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/0ee2e5070317/ac9-11-e01487-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/9343e80635b3/ac9-11-e01487-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/4a3e304d7a1d/ac9-11-e01487-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/934531b00681/ac9-11-e01487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/49f8ac7491ad/ac9-11-e01487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/23d76c963269/ac9-11-e01487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/0ee2e5070317/ac9-11-e01487-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/9343e80635b3/ac9-11-e01487-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0611/11392474/4a3e304d7a1d/ac9-11-e01487-g006.jpg

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1
An Extremely Rare Presentation of Mucinous Adenocarcinoma Originating From Meckel Diverticulum Masquerading in a Young Woman With Crohn's Disease.
ACG Case Rep J. 2024 Sep 12;11(9):e01487. doi: 10.14309/crj.0000000000001487. eCollection 2024 Sep.
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本文引用的文献

1
Malignancy and Meckel's diverticulum: A systematic literature review and 14-year experience at a tertiary referral center.恶性肿瘤与梅克尔憩室：一项系统文献综述及在三级转诊中心的14年经验
United European Gastroenterol J. 2018 Jun;6(5):739-747. doi: 10.1177/2050640617752771. Epub 2018 Jan 16.
2
Meckel's diverticulitis: a rare entity of Meckel's diverticulum.梅克尔憩室炎：梅克尔憩室的一种罕见情况。
J Surg Case Rep. 2017 Jan 6;2017(1):rjw225. doi: 10.1093/jscr/rjw225.