VILLOUS ADENOMA ARISING IN MECKELS-DIVERTICULUM

The first well documented case of villous adenoma arising in a Meckel' s diverticulum not associated with a carcinoma is reported. A 21 year old man with long history of medically treated ulcerative colitis was admitted to hospital with severe pain and bleeding. Total abdominal co lectomy and ileo-anal anastomosis was performed and during this proced ure Meckel's diverticulum containing a villous adenoma showing minimal dysplasia was found and resected. The diverticulum was lined partly b y ileal and partly by gastric epithelium, and the villous adenoma orig inated from the gastric mucosa.