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.
The following is a
JOHNSTON RH, HALL RA, ERICKSON EE. Argentaffin Cell Tumor of Meckel's Diverticulum: Associated With Gastrointestinal Bleeding. Arch Surg. 1965;90(1):172–174. doi:10.1001/archsurg.1965.01320070174035
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