We report a case of an inflammatory Meckel's diverticulum which include a leiomyoma in the wall. A 61-year-old woman complained of a lower abdominal pain, vomiting and diarrhea. She was admitted to Teikyo University Hospital in March, 1999. There were tenderness and rebound tenderness without muscular guarding in the lower abdomen. The CT scan and the ultrasound study showed a mass 3cm in diameter in the pelvic cavity. Emergency laparotomy revealed a round, reddish and firm tumor with yellowish coating in the antimesenteric side of the ileum. The partial resection of the ileum including the tumor was performed. Pathological examination showed that the inflammatory lesion was a Meckel's diverticulum accompanied with a leiomyoma.
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)