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Int J Angiol 2012; 21(03): 155-158
DOI: 10.1055/s-0032-1315798
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dual Pathology in a Patient with Right Lower Quadrant Pain

Authors

  • Gary B. Deutsch

    1   Department of Surgery, Hofstra North Shore-Long Island Jewish Health System, Manhasset, New York

  • Sandeep Anantha Sathyanarayana

    1   Department of Surgery, Hofstra North Shore-Long Island Jewish Health System, Manhasset, New York

  • Jeffrey Nicastro

    1   Department of Surgery, Hofstra North Shore-Long Island Jewish Health System, Manhasset, New York

  • Ernesto Molmenti

    1   Department of Surgery, Hofstra North Shore-Long Island Jewish Health System, Manhasset, New York

  • Gene Coppa

    1   Department of Surgery, Hofstra North Shore-Long Island Jewish Health System, Manhasset, New York

  • Eugene Rubach

    2   Department of Surgery, St. Francis Hospital, Catholic Health System of Long Island, Roslyn, New York

  • Barak Friedman

    3   Department of Radiology, North Shore-Long Island Jewish Health System, Manhasset, New York
Further Information

Publication History

Publication Date:
08 June 2012 (online)

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Abstract

Meckel diverticula are remnants of the omphalomesenteric duct. They have 2% incidence in the general population, are usually asymptomatic, and tend to be diagnosed incidentally. The generally held principle had been that asymptomatic cases do not require resection, as exemplified by a 2008 systematic review of over 200 studies. However, a recent series reported an increased risk of malignancies, and recommended mandatory resection. We present a case of Meckel diverticulitis with concurrent infiltrative appendiceal carcinoid in a patient with right lower quadrant pain.

Keywords

Meckel diverticulitis - carcinoid - appendix - abdominal pain - diverticulitis - malignancy - resection