Leiomyosarcoma of meckel's diverticulum: A case report and review of the literature

Saadia, Roger; Decker, G

doi:10.1002/jso.2930320207

Cited by 7 publications

(5 citation statements)

References 8 publications

(5 reference statements)

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“…Gastrointestinal stromal tumors (53), leiomyosarcomas (54), and adenocarcinomas (55,56) have also been reported to occur in Meckel diverticula. The imaging features of these tumors are relatively nonspecific and depend on tumor size.…”

Section: Neoplasmsmentioning

confidence: 98%

From the Archives of the AFIP

Levy¹,

Hobbs²

2004

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Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in 2%-3% of the population. It results from improper closure and absorption of the omphalomesenteric duct. Meckel diverticulum is the most common end result of the spectrum of omphalomesenteric duct anomalies, which also include umbilicoileal fistula, umbilical sinus, umbilical cyst, and a fibrous cord connecting the ileum to the umbilicus. The formation of Meckel diverticulum occurs with equal frequency in both sexes, but symptoms from complications are more common in male patients. Sixty percent of patients come to medical attention before 10 years of age, with the remainder of cases manifesting in adolescence and adulthood. Heterotopic gastric and pancreatic mucosa are frequently found histologically within the diverticula of symptomatic patients. The most common complications are hemorrhage from peptic ulceration, small intestinal obstruction, and diverticulitis. Although the clinical, pathologic, and radiologic features of the complications of Meckel diverticulum are well known, the diagnosis of Meckel diverticulum is difficult to establish preoperatively.

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Section: Neoplasmsmentioning

confidence: 98%

From the Archives of the AFIP

Levy¹,

Hobbs²

2004

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242

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“…Other reported tumors include leiomyoma (Fig. 13), leiomyosarcoma [17], angioma, neuroma, lipoma, carcinosarcoma, and adenocarcinoma [18,19]. These tumors have nonspecific imaging features, including a sessile or lobulated filling defect.…”

Section: Neoplasmmentioning

confidence: 99%

Imaging Manifestations of Meckel's Diverticulum

Elsayes

Menias

Harvin

et al. 2007

American Journal of Roentgenology

244

150

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“…Saadia et al, [ 40 ] in 1986 described the diagnostic role of mesenteric angiography in collected cases of leiomyosarcomas and reported hyper-vascularization, signs of necrosis and well-defined outlines in 95%, 25% & 65% of the cases respectively. The artery supplying the tumour was enlarged in 55% of the cases and a drainage vein was visible in 45% (hyper-vascularization and feeding vessels).…”

Section: Leiomyosarcoma Of the Meckel's Diverticulummentioning

confidence: 99%

“…The most up-to-date series from Cleveland Clinic has identified three important factors for prognosis i.e. a long duration of symptoms, a tumour size of <9 cm in diameter, and the absence of lymphatic or distant metastases [ 47 ].…”

Section: Leiomyosarcoma Of the Meckel's Diverticulummentioning

confidence: 99%

Malignant neoplasms of Meckel's diverticulum; an evidence based review

Kabir

Raza

Kabir

2019

Annals of Medicine and Surgery

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An up to date published literature has shown that Meckel's Diverticulum (MD) are discovered incidentally and are benign, malignant transformation is unusual with reported incidence to be only 0.5%–3.2%. The research available on this rare tumour remains scanty, mainly consisting of case reports and case series with many researchers reporting on their own clinical experience and often disagree on not only its epidemiology, but also more so on its surgical indications. In addition to the above there is no agreed standard formal grading and staging classification for primary MD tumour that can not only help assess the tumour in a systematic way, but also advise on a standard treatment plan that is to be followed after emergency surgery. Hence, the aim of this article is to systematically review the latest evidence on these rare types of malignant neoplasm originating from MD, and conclude the best management options when encountered with such situations.

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Leiomyosarcoma of meckel's diverticulum: A case report and review of the literature

Abstract: A case of leiomyosarcoma of a Meckel's diverticulum, presenting as an acute appendicitis, is reported. The literature is reviewed with particular emphasis on current trends in the diagnosis and management of leiomyosarcomas of the small intestine.

Cited by 7 publications

References 8 publications

From the Archives of the AFIP

From the Archives of the AFIP

Imaging Manifestations of Meckel's Diverticulum

Malignant neoplasms of Meckel's diverticulum; an evidence based review

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