ABSTRACT
Resumen El divertículo de Meckel (DM) es un remanente de la persistencia del conducto onfalomesentérico presente en un 2% de la población general. Normalmente cursa de forma silente y solo se descubre ante la presencia de complicaciones. El diagnóstico preoperatorio es infrecuente. En general se acepta que el tratamiento más adecuado ante un DM sintomático es la resección quirúrgica. El manejo del DM asintomático sigue sin estar claro. Se presenta un caso clínico que no solo engloba algunas de las complicaciones que puede presentar un DM, sino que además tiene la peculiaridad de que un leiomioma es el origen de las mismas. La presencia de enfermedad neoplásica a nivel del DM representa un 3,2% de sus complicaciones. El tumor carcinoide es el más frecuente. Existen pocas publicaciones que hagan referencia a las neoplasias benignas albergadas en los DM debido a su baja incidencia (AU)
Abstract Meckel's diverticulum (MD) is a persistent embryonic remnant occurring in 2% of the general population. This entity is usually clinically silent and is only discovered when complications occur. Diagnosis is rarely made preoperatively. Surgical resection of symptomatic MD is widely accepted but the most appropriate management of asymptomatic MD remains unclear. We present a case of MD that summarizes some of the complications that may occur. The peculiarity of this case was that the complications were caused by a leiomyoma. The presence of tumoral disease in MD accounts for 3.2% of complications. The most common neoplasm is carcinoid tumor. Few publications have reported benign neoplasms in MD, probably due to their low incidence (AU)
Subject(s)
Humans , Male , Aged , Leiomyoma/pathology , Meckel Diverticulum/pathology , Carcinoid Tumor/pathology , Choristoma/pathologySubject(s)
Appendix/pathology , Gastrointestinal Hemorrhage/etiology , Iliac Artery/pathology , Intestinal Fistula/diagnosis , Cecal Diseases/complications , Cecal Diseases/diagnosis , Female , Humans , Intestinal Fistula/complications , Middle Aged , Rectum , Vascular Diseases/complications , Vascular Diseases/diagnosisABSTRACT
Meckel's diverticulum (MD) is a persistent embryonic remnant occurring in 2% of the general population. This entity is usually clinically silent and is only discovered when complications occur. Diagnosis is rarely made preoperatively. Surgical resection of symptomatic MD is widely accepted but the most appropriate management of asymptomatic MD remains unclear. We present a case of MD that summarizes some of the complications that may occur. The peculiarity of this case was that the complications were caused by a leiomyoma. The presence of tumoral disease in MD accounts for 3.2% of complications. The most common neoplasm is carcinoid tumor. Few publications have reported benign neoplasms in MD, probably due to their low incidence.
Subject(s)
Ileal Neoplasms/diagnosis , Intestinal Perforation/etiology , Leiomyoma/diagnosis , Meckel Diverticulum/pathology , Abdomen, Acute/etiology , Adenocarcinoma , Aged , Delayed Diagnosis , Diagnostic Imaging , Humans , Ileal Neoplasms/complications , Ileal Neoplasms/surgery , Leiomyoma/complications , Leiomyoma/surgery , Male , Meckel Diverticulum/surgery , Neoplasms, Second Primary/complications , Neoplasms, Second Primary/diagnosis , Neoplasms, Second Primary/surgery , Peritonitis/etiology , Prostatic Neoplasms , Surgical Wound Infection/etiologySubject(s)
Humans , Male , Young Adult , Intestinal Perforation/complications , Intestinal Perforation/diagnosis , Melanoma/complications , Melanoma/diagnosis , /methods , Intestinal Perforation/pathology , Intestinal Perforation , Melanoma/pathology , Melanoma , Neoplasm Metastasis/pathology , Neoplasm Metastasis , Prognosis , Interferons/therapeutic use , Diagnosis, DifferentialSubject(s)
Humans , Male , Adult , Ileal Diseases/etiology , Ileal Neoplasms/complications , Lymphoma, Large-Cell, Anaplastic/complications , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Ileal Diseases/surgery , Ileal Neoplasms/diagnosis , Ileal Neoplasms/drug therapy , Ileal Neoplasms/surgery , Lymphoma, Large-Cell, Anaplastic/diagnosis , Lymphoma, Large-Cell, Anaplastic/drug therapy , Lymphoma, Large-Cell, Anaplastic/surgerySubject(s)
Ileal Diseases/etiology , Ileal Neoplasms/complications , Lymphoma, Large B-Cell, Diffuse/complications , Abdomen, Acute/etiology , Adult , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Combined Modality Therapy , Humans , Ileal Diseases/surgery , Ileal Neoplasms/diagnosis , Ileal Neoplasms/drug therapy , Ileal Neoplasms/surgery , Intussusception/etiology , Intussusception/surgery , Lymphoma, Large B-Cell, Diffuse/diagnosis , Lymphoma, Large B-Cell, Diffuse/drug therapy , Lymphoma, Large B-Cell, Diffuse/surgery , Male , Young AdultABSTRACT
A 52-year-old woman complaining of abdominal pain, headaches and palpitations was admitted to our hospital for investigation of a bilateral adrenal tumor. Bilateral adrenalectomy was subsequently performed. The definitive diagnosis was right pheochromocytoma and left adrenocortical adenoma. Only four cases of pheochromocytoma associated with nonfunctioning adrenal adenoma have previously been reported. The coexistence of both entities is currently believed to be coincidental. Further examination of cases similar to ours might reveal the underlying mechanisms for the coexistence of these tumors.
Subject(s)
Adenoma , Adrenal Gland Neoplasms , Neoplasms, Multiple Primary , Pheochromocytoma , Adenoma/diagnosis , Adenoma/surgery , Adrenal Gland Neoplasms/diagnosis , Adrenal Gland Neoplasms/surgery , Female , Humans , Middle Aged , Neoplasms, Multiple Primary/diagnosis , Neoplasms, Multiple Primary/surgery , Pheochromocytoma/diagnosis , Pheochromocytoma/surgeryABSTRACT
Mujer de 52 años, afectada de dolor abdominal, cefaleas y palpitaciones, que fue admitida en nuestro hospital para ser estudiada de una tumoración adrenal bilateral, y posteriormente se le practicó una adrenalectomía bilateral. Tan sólo se han publicado previamente 4 casos de coexistencia de feocromocitoma y adenoma suprarrenal no funcionante. La coexistencia de ambas lesiones en la actualidad se considera una mera coincidencia. El estudio de casos similares en el futuro permitirá conocer los mecanismos fisiopatológicos de la coexistencia de estos tumores (AU)
A 52-year-old woman complaining of abdominal pain, headaches and palpitations was admitted to our hospital for investigation of a bilateral adrenal tumor. Bilateral adrenalectomy was subsequently performed. The definitive diagnosis was right pheochromocytoma and left adrenocortical adenoma. Only four cases of pheochromocytoma associated with nonfunctioning adrenal adenoma have previously been reported. The coexistence of both entities is currently believed to be coincidental. Further examination of cases similar to ours might reveal the underlying mechanisms for the coexistence of these tumors (AU)
