Carcinoid syndrome

Case contributed by Dr Abdallah Alqudah


Alteration in bowel habit and mass in the right lower abdomen.

Patient Data

Age: 55 years
Gender: Female

There is a heterogeneously enhancing soft tissue mass lesion seen in the right iliac fossa, arising from the mesentery of small bowel. It contains areas of necrosis and foci of calcifications and causes a desmoplastic reaction.

Multiple adjacent ovoid-shaped enhancing regional lymph nodes are also present.

Multiple hypodense lesions seen scattered in the liver; the largest one is seen in segment IVa, concerning for metastases.

Multiple enhancing pathological lymph nodes are seen in the celiac, preaortic, aortocaval, left and right para-aortic, peripancreatic regions and the mesentery.

Case Discussion

The diagnosis was suggested by the presence of a desmoid reaction in addition to the lab results.  Histology confirms the mass as a well-differentiated neuroendocrine tumor (carcinoid tumor).

PlayAdd to Share

Case information

rID: 52706
Published: 30th Aug 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.