Diagnosi di mucocele appendicolare gigante in corso di laparotomia per addome acuto. Caso clinico e revisione della letteratura

Gli Autori descrivono un caso clinico di mucocele appendicolare gigante secondario a tumore mucinoso dell’appendice, diagnosticato in corso di laparotomia per addome acuto. Con una revisione della letteratura evidenziano la singolare presentazione della neoplasia con complicanza acuta da rottura della parete appendicolare e le conseguenti difficoltà diagnostiche e gestionali dell’approccio in emergenza

Intestinal obstruction by giant Meckel's diverticulum. Case report

Most cases of Meckel’s diverticulum (MD) are asymptomatic and discovered by chance. Management of MD is controversial. The authors describe an exceptional case of intestinal obstruction caused by a giant MD in a patient who had previously undergone appendectomy. A review of the contradictory literature on this subject leads to the conclusion that careful consideration of clinical and morphological data (patient's age, ASA score, the surgical procedure to be performed, morphology and position of the MD, any fibrotic bands) is required before deciding whether or not to resect an asymptomatic MD