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Báo cáo y học: " A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel’s diverticulum: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel’s diverticulum: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report A gastrointestinal stromal tumour presenting incidentally with haemorrhage and perforation associated with a Meckel s diverticulum a case report Richard Woolf1 Natalie Blencowe1 Karim Muhammad1 David Paterson2 and Geoff Pye3 Addresses Department of Coloproctology Bristol Royal Infirmary Bristol UK 2Department of Histopathology Weston General Hospital Weston-super-Mare UK 3Department of Surgery Weston General Hospital Weston-super-Mare UK Email RW - woolfy28@hotmail.com NB - natalieblencowe@doctors.org.uk KM - kbmuhammad@hotmail.com DP - david.paterson@waht.swest.nhs.uk GP - geoff.pye@waht.swest.nhs.uk Corresponding author Received 17 March 2008 Accepted 2 February 2009 Published 23 July 2009 Journal of Medical Case Reports 2009 3 7423 doi 10.4076 1752-1947-3-7423 This article is available from http jmedicalcasereports.com jmedicalcasereports article view 7423 2009 Woolf et al. licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 3.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction This is the first reported case of perforation and haemorrhage of a Meckel s diverticulum leading to the incidental finding of a gastrointestinal stromal tumour within the diverticulum. Meckel s diverticulum is the most common congenital abnormality of the gastrointestinal tract however when symptomatic it is often misdiagnosed at presentation. Common complications presenting in adults include bleeding obstruction diverticulitis and perforation. Tumours within a Meckel s diverticulum are a rare but recognised complication. We discuss the management of a gastrointestinal tumour within the diverticulum. Case presentation A 59-year-old Caucasian man presented with acute right iliac fossa pain with localized peritonism. At .