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KMID : 0371320130840060367
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Journal of the Korean Surgical Society
2013 Volume.84 No. 6 p.367 ~ p.370
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Adenocarcinoma arising from Meckel’s diverticulum in the ileum with malrotation of the midgut
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Lee Jin-Kwon
Kwag Seung-Jin
Oh Seong-Taek
Kim Jun-Gi
Kang Won-Kyung
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Abstract
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Meckel’s diverticulum (MD) is a true congenital diverticulum that is remnant by incomplete obliteration of the omphalomesenteric duct. It is the most common congenital anomaly of the gastrointestinal tract, with an estimated prevalence of 2% (0.3% to 3% in autopsy studies). About 90% of MD occurs within 100 cm of the ileocecal valve. A primary malignant tumor arising within an MD is extremely uncommon. Malignancies are reported to account for only 0.5% to 3.2% of the complications. Carcinoids are the most common malignant tumors occurring in MD. Adenocarcinomas are extremely uncommon and very poor prognosis has been reported. We report a case of radiographically diagnosed chronic inflammatory mass caused by adenocarcinoma arising from MD in the ileum with malrotation of the midgut incidentally discovered at exploration.
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KEYWORD
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Meckel diverticulum, Adenocarcinoma, Intestinal malrotation
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