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January 1965

Argentaffin Cell Tumor of Meckel's Diverticulum: Associated With Gastrointestinal Bleeding

Author Affiliations

From the Cora and Webb Mading Department of Surgery and the Department of Pathology, Baylor University College of Medicine, and the departments of surgery and pathology, Veterans Administration Hospital. Clinical Instructor, Department of Surgery, Baylor University College of Medicine; Assistant Chief, Surgical Service, Veterans Administration Hospital (Dr. Johnston); Clinical Assistant and Resident, Department of Surgery, Baylor University College of Medicine (Dr. Hall); Clinical Associate Professor, Department of Pathology, Baylor University College of Medicine, and Assistant Chief of Laboratory Service, Veterans Administration Hospital (Dr. Erickson).

Arch Surg. 1965;90(1):172-174. doi:10.1001/archsurg.1965.01320070174035

THE PROBLEM of occult gastrointestinal bleeding is commonly encountered. Often laboratory and x-ray investigation reveals no pathologic process. Laparotomy may be performed and in some patients discloses no lesion causing the bleeding, but in a significant number of patients the surgeon is rewarded by discovery of a treatable lesion.

A Meckel's diverticulum causing bleeding is a diagnosis frequently considered when this problem arises. This diverticulum is present in 2% of the population and is more common in the male patient.1 Islands of gastric mucosa are found in 25% to 35% of the cases.2 This most commonly has been considered the cause of gastrointestinal bleeding from this diverticulum.

Malignant tumors associated with Meckel's diverticula are rare. Kravetz et al6 reviewed the literature through 1959 and found 58 tumors associated with Meckel's diverticulum. Of these tumors, 23 were sarcoma, 17 carcinoma, and 18 carcinoid tumors.

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