Adenocarcinoma sobre divertículo de Meckel: una degeneración maligna poco frecuente / Meckel´s diverticulum adenocarcinoma: a rare malignant degeneration

Se presenta el caso de un paciente varon de 40 años que tras el estudio etiológico de las rectorragias como única sintomatología, se procedió a laparotomía exploradora, hallándose un adenocarcinoma diseminado, dependiente de divertículo de Meckel. Se realizó resección paliativa segmentaria de intestino delgado. La ausencia de clínica conlleva la diseminación de la enfermedad y la imposibilidad de resección quirúrgica curativa del tumor (AU)

Meckel's diverticulum adenocarcinoma: a rare malignant degeneration.

The case of a 40 year old male that, after the etiological study performed due to rectorrhages that was the only symptom he presented, was referred to an exploratory laparotomy. A disseminated adenocarcinoma arising in Meckels diverticulum was detected and palliative segmentary resection of the small bowel was performed. The lack of previous symptoms lead to the dissemination of the disease and to the impossibility of curative surgical resection of the tumor.

[Acute abdomen caused by jejunal perforation as a clinical presentation of MEN-1 syndrome]. / Abdomen agudo por perforación yeyunal como presentación clínica de un síndrome MEN-I.

We present a case of acute abdomen due to a jejunal perforation. The final diagnosis was concluded a multiple endocrine neoplasia type I. In the literature reviewed, no similar clinical presentation was found. We review the diagnostic sequence and the management of these patients.