Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report
Abstract Background As laparoscopic surgery becomes more prevalent worldwide, Meckel’s diverticula are increasingly being discovered incidentally during surgery. There is no consensus on whether to follow up or resect such diverticula, which are usually asymptomatic. In cases of transabdominal prepe...
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Japan Surgical Society
2024-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-024-01821-0 |
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| author | Shoko Kato Takuya Saito Shintaro Kurahashi Yasuyuki Fukami Shunichiro Komatsu Kenitiro Kaneko Tsuyoshi Sano |
| author_facet | Shoko Kato Takuya Saito Shintaro Kurahashi Yasuyuki Fukami Shunichiro Komatsu Kenitiro Kaneko Tsuyoshi Sano |
| author_sort | Shoko Kato |
| collection | DOAJ |
| description | Abstract Background As laparoscopic surgery becomes more prevalent worldwide, Meckel’s diverticula are increasingly being discovered incidentally during surgery. There is no consensus on whether to follow up or resect such diverticula, which are usually asymptomatic. In cases of transabdominal preperitoneal inguinal hernia repair, resection of such a diverticulum might add the risk of mesh infection. Thus, it is unclear whether simultaneous intestinal resection is advisable. Case presentation A 64-year-old man diagnosed with a left indirect inguinal hernia underwent laparoscopic inguinal hernia repair, during which a 2-cm Meckel’s diverticulum located contralateral to the mesentery of the ileum approximately 30 cm from Bauhin’s valve was detected incidentally. Because of the potential risk of future complications such as hemorrhage, diverticulitis, or tumor development, wedge resection of the ileum was performed extracorporeally through an extended umbilical port site after completion of the hernia repair. Pathological examination revealed a neuroendocrine tumor (G1) in Meckel’s diverticulum, which was successfully resected without any mesh infection or postoperative complications. Discussion Our patient’s clinical course raises two important issues. First, a Meckel’s diverticulum detected incidentally during laparoscopic surgery should be resected promptly because malignant tumors within such diverticula have frequently been reported. Second, simultaneous resection with hernia repair using mesh seems to be as safe as other clean-contaminated surgery. Conclusions Management of incidental Meckel’s diverticula should be selected by appropriate assessment for the risk of malignancy and complications. |
| format | Article |
| id | doaj-art-5ffdd500d5e04bf6a21462b4bb5998ed |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-5ffdd500d5e04bf6a21462b4bb5998ed2025-08-20T03:33:02ZengJapan Surgical SocietySurgical Case Reports2198-77932024-01-011011510.1186/s40792-024-01821-0Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case reportShoko Kato0Takuya Saito1Shintaro Kurahashi2Yasuyuki Fukami3Shunichiro Komatsu4Kenitiro Kaneko5Tsuyoshi Sano6Department of Surgery, Aichi Medical UniversityDepartment of Surgery, Aichi Medical UniversityDepartment of Surgery, Aichi Medical UniversityDepartment of Surgery, Aichi Medical UniversityDepartment of Surgery, Aichi Medical UniversityDepartment of Surgery, Aichi Medical UniversityDepartment of Surgery, Aichi Medical UniversityAbstract Background As laparoscopic surgery becomes more prevalent worldwide, Meckel’s diverticula are increasingly being discovered incidentally during surgery. There is no consensus on whether to follow up or resect such diverticula, which are usually asymptomatic. In cases of transabdominal preperitoneal inguinal hernia repair, resection of such a diverticulum might add the risk of mesh infection. Thus, it is unclear whether simultaneous intestinal resection is advisable. Case presentation A 64-year-old man diagnosed with a left indirect inguinal hernia underwent laparoscopic inguinal hernia repair, during which a 2-cm Meckel’s diverticulum located contralateral to the mesentery of the ileum approximately 30 cm from Bauhin’s valve was detected incidentally. Because of the potential risk of future complications such as hemorrhage, diverticulitis, or tumor development, wedge resection of the ileum was performed extracorporeally through an extended umbilical port site after completion of the hernia repair. Pathological examination revealed a neuroendocrine tumor (G1) in Meckel’s diverticulum, which was successfully resected without any mesh infection or postoperative complications. Discussion Our patient’s clinical course raises two important issues. First, a Meckel’s diverticulum detected incidentally during laparoscopic surgery should be resected promptly because malignant tumors within such diverticula have frequently been reported. Second, simultaneous resection with hernia repair using mesh seems to be as safe as other clean-contaminated surgery. Conclusions Management of incidental Meckel’s diverticula should be selected by appropriate assessment for the risk of malignancy and complications.https://doi.org/10.1186/s40792-024-01821-0Meckel’s diverticulumNeuroendocrine tumorTransabdominal preperitoneal repair |
| spellingShingle | Shoko Kato Takuya Saito Shintaro Kurahashi Yasuyuki Fukami Shunichiro Komatsu Kenitiro Kaneko Tsuyoshi Sano Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report Surgical Case Reports Meckel’s diverticulum Neuroendocrine tumor Transabdominal preperitoneal repair |
| title | Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report |
| title_full | Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report |
| title_fullStr | Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report |
| title_full_unstemmed | Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report |
| title_short | Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report |
| title_sort | simultaneous resection of a neuroendocrine tumor in an incidental meckel s diverticulum with transabdominal preperitoneal hernial repair a case report |
| topic | Meckel’s diverticulum Neuroendocrine tumor Transabdominal preperitoneal repair |
| url | https://doi.org/10.1186/s40792-024-01821-0 |
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