Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case report
Abstract Background Malignant neoplasms arising from Meckel’s diverticulum are rare and an adenocarcinoma in Meckel’s diverticulum originating from ectopic pancreatic tissue is even rarer. Herein, we report a patient with an ectopic pancreatic adenocarcinoma in Meckel’s diverticulum who was successf...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-02-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-024-01843-8 |
| _version_ | 1827326377517383680 |
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| author | Shoichi Inokuchi Kohjiro Shirabe Satoshi Tsutsumi Hiroomi Takayama Takahiro Terashi Kazuhiro Yasuda Masahiko Ikebe Toshio Bandoh Junpei Wada Shogo Urabe Tohru Utsunomiya |
| author_facet | Shoichi Inokuchi Kohjiro Shirabe Satoshi Tsutsumi Hiroomi Takayama Takahiro Terashi Kazuhiro Yasuda Masahiko Ikebe Toshio Bandoh Junpei Wada Shogo Urabe Tohru Utsunomiya |
| author_sort | Shoichi Inokuchi |
| collection | DOAJ |
| description | Abstract Background Malignant neoplasms arising from Meckel’s diverticulum are rare and an adenocarcinoma in Meckel’s diverticulum originating from ectopic pancreatic tissue is even rarer. Herein, we report a patient with an ectopic pancreatic adenocarcinoma in Meckel’s diverticulum who was successfully treated with surgery and chemotherapy. Case presentation A woman in her sixties presented to another hospital with abdominal pain. Plain computed tomography suggested an abdominal tumor and she was referred to our hospital. Enhanced computed tomography revealed a 23-mm low-density tumor in the abdominal cavity. Surgery was performed with a tentative diagnosis of a mesenteric tumor, such as a gastrointestinal stromal tumor, schwannoma, or lymphoma. First, we inspected the peritoneal cavity with a laparoscope. This revealed numerous nodules in the small bowel mesentery, suggesting peritoneal dissemination. A 20-mm-diameter white tumor was found in the small intestine and diagnosed as a small intestinal cancer. The small intestine was partially resected laparoscopically through a small skin incision. The patient’s postoperative course was uneventful, and she was discharged on postoperative day 9. Pathological examination revealed well-differentiated adenocarcinoma in the small intestine. The tumor had developed from a sac-like portion protruding toward the serosal side and had a glandular structure lined with flattened atypical cells. Neither pancreatic acinar cells nor islets of Langerhans were evident, suggesting a Heinrich type 3 ectopic pancreas. The final diagnosis was an adenocarcinoma originating from an ectopic pancreas in Meckel’s diverticulum. After a smooth recovery, the patient commenced chemotherapy for pancreatic cancer. Conclusions We present a very rare case of ectopic pancreatic carcinoma in Meckel’s diverticulum. |
| first_indexed | 2024-03-07T14:43:35Z |
| format | Article |
| id | doaj.art-57cbd095aeaa418ca8043d0a822afaae |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-03-07T14:43:35Z |
| publishDate | 2024-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-57cbd095aeaa418ca8043d0a822afaae2024-03-05T20:05:45ZengSpringerOpenSurgical Case Reports2198-77932024-02-011011510.1186/s40792-024-01843-8Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case reportShoichi Inokuchi0Kohjiro Shirabe1Satoshi Tsutsumi2Hiroomi Takayama3Takahiro Terashi4Kazuhiro Yasuda5Masahiko Ikebe6Toshio Bandoh7Junpei Wada8Shogo Urabe9Tohru Utsunomiya10Department of Surgery, Oita Prefectural HospitalDepartment of Surgery, Oita Prefectural HospitalDepartment of Surgery, Oita Prefectural HospitalDepartment of Surgery, Oita Prefectural HospitalDepartment of Surgery, Oita Prefectural HospitalDepartment of Surgery, Oita Prefectural HospitalDepartment of Surgery, Oita Prefectural HospitalDepartment of Surgery, Oita Prefectural HospitalDepartment of Pathology, Oita Prefectural HospitalDepartment of Pathology, Oita Prefectural HospitalDepartment of Surgery, Oita Prefectural HospitalAbstract Background Malignant neoplasms arising from Meckel’s diverticulum are rare and an adenocarcinoma in Meckel’s diverticulum originating from ectopic pancreatic tissue is even rarer. Herein, we report a patient with an ectopic pancreatic adenocarcinoma in Meckel’s diverticulum who was successfully treated with surgery and chemotherapy. Case presentation A woman in her sixties presented to another hospital with abdominal pain. Plain computed tomography suggested an abdominal tumor and she was referred to our hospital. Enhanced computed tomography revealed a 23-mm low-density tumor in the abdominal cavity. Surgery was performed with a tentative diagnosis of a mesenteric tumor, such as a gastrointestinal stromal tumor, schwannoma, or lymphoma. First, we inspected the peritoneal cavity with a laparoscope. This revealed numerous nodules in the small bowel mesentery, suggesting peritoneal dissemination. A 20-mm-diameter white tumor was found in the small intestine and diagnosed as a small intestinal cancer. The small intestine was partially resected laparoscopically through a small skin incision. The patient’s postoperative course was uneventful, and she was discharged on postoperative day 9. Pathological examination revealed well-differentiated adenocarcinoma in the small intestine. The tumor had developed from a sac-like portion protruding toward the serosal side and had a glandular structure lined with flattened atypical cells. Neither pancreatic acinar cells nor islets of Langerhans were evident, suggesting a Heinrich type 3 ectopic pancreas. The final diagnosis was an adenocarcinoma originating from an ectopic pancreas in Meckel’s diverticulum. After a smooth recovery, the patient commenced chemotherapy for pancreatic cancer. Conclusions We present a very rare case of ectopic pancreatic carcinoma in Meckel’s diverticulum.https://doi.org/10.1186/s40792-024-01843-8ChemotherapyEctopic pancreatic adenocarcinomaMeckel’s diverticulumRare cancerSurgery |
| spellingShingle | Shoichi Inokuchi Kohjiro Shirabe Satoshi Tsutsumi Hiroomi Takayama Takahiro Terashi Kazuhiro Yasuda Masahiko Ikebe Toshio Bandoh Junpei Wada Shogo Urabe Tohru Utsunomiya Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case report Surgical Case Reports Chemotherapy Ectopic pancreatic adenocarcinoma Meckel’s diverticulum Rare cancer Surgery |
| title | Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case report |
| title_full | Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case report |
| title_fullStr | Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case report |
| title_full_unstemmed | Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case report |
| title_short | Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case report |
| title_sort | ectopic pancreatic adenocarcinoma in meckel s diverticulum a case report |
| topic | Chemotherapy Ectopic pancreatic adenocarcinoma Meckel’s diverticulum Rare cancer Surgery |
| url | https://doi.org/10.1186/s40792-024-01843-8 |
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