Gastric adenocarcinoma of Meckel's diverticulum as a cause of colonic obstruction

A 45-year-old-female patient with no prior surgical history presented with bowel obstruction. At laparotomy, a bulky tumor arising from the ileum, whi ch completely obstructed the sigmoid colon, was found. A left hemicolectomy followed by a transverse colostomy and a Hartman's pouch were performed. P athological examination of the specimen revealed gastric adenocarcinoma ari sing from a Meckel's diverticulum in the ileum. Malignant transformation fr om a Meckel's diverticulum is an uncommon occurrence. This case illustrates that successful management of a symptomatic Meckel's diverticulum, even wi th malignant transformation, can be achieved by surgical resection.