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July 1957

Adenocarcinoma in a Meckel's Diverticulum with Perforation: Report of a Case

Author Affiliations

Honolulu, Hawaii
From the Department of Surgery, Straub Clinic.

AMA Arch Surg. 1957;75(1):158-160. doi:10.1001/archsurg.1957.01280130164032

The incidence of Meckel's diverticulum is estimated to be from 1% to 2% of the of the population. It is commonly found at laparotomy for unrelated conditions, but causes no symptoms unless pathological changes occur in the otherwise "normal" anomaly.

These changes and their clinical manifestations have been the subject of numerous reports. They include simple inflammation, hemorrhage from ulceration, intussusception with the diverticulum as the leading point, intestinal obstruction due to associated congenital bands, foreign-body or spontaneous perforation of the diverticulum, and others still less common. One of the rarest is the finding of malignancy in a Meckel's diverticulum. This report concerns such a case with the unusual complication of perforation superimposed.

Report of Case  A 32-year-old white man was first seen on Dec. 28, 1953, at 11 p.m. with a history of sudden onset of severe abdominal pain four hours previously, immediately after a large meal. There had

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