doiSerbia

A massive bleeding from a gastrointestinal stromal tumor of a Meckel’s diverticulum

Chabowski Mariusz (Fourth Military Teaching Hospital, Department of Surgery, Wroclaw, Poland + Wroclaw Medical University, Faculty of Health Science, Department of Clinical Nursing, Wroclaw, Poland)
Szymanska-Chabowska Anna (Wroclaw Medical University, Faculty of Medicine, Department of Internal Medicine and Hypertension, Wroclaw, Poland)
Dorobisz Tadeusz (Fourth Military Teaching Hospital, Department of Surgery, Wroclaw, Poland)
Janczak Dawid (Fourth Military Teaching Hospital, Department of Surgery, Wroclaw, Poland)
Jelen Michał (Wroclaw Medical University, Faculty of Medicine, Department of Pathology, Wroclaw, Poland)
Janczak Dariusz (Fourth Military Teaching Hospital, Department of Surgery, Wroclaw, Poland + Wroclaw Medical University, Faculty of Health Science, Department of Clinical Nursing, Wroclaw, Poland)

Introduction. Meckel’s diverticulum is the most common congenital anomaly of the gastro intestinal tract, present in about 2% of population. Case Outline. The article presents the case of a 44-year-old otherwise healthy man with anemia, who was diagnosed lower gastrointestinal bleeding. An abdominal CT scan revealed a clearly demarcated solid tumor in hypogastric region, measuring 65 Ч 45 mm. A laparotomy through lower midline incision was performed. A surgical resection of a lesion of a Meckel’s diverticulum was carried out and a final diagnosis of gastrointestinal stromal tumor was made. The patient made an uneventful recovery. Conclusion. The preoperative diagnosis of a complicated Meckel’s diverticulum may be challenging. CT is usually an adequate method to diagnose tumors arising from Meckel’s diverticulum.

Keywords: bleeding Meckel’s diverticulum, diverticulectomy, gastrointestinal stromal tumor (GIST)