Leiomioma en divertículo de Meckel / Leiomyoma in Meckel's diverticulum

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)

[Leiomyoma in Meckel's diverticulum]. / Leiomioma en divertículo de Meckel.

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.