Presentation
High blood pressure and diffuse abdominal pain.
Patient Data
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There is a 3mm calcification in segment VII of the liver. Multiple arterial phase enhancing lesions are identified in the liver.
An oval mesenteric mass measuring 3.5 x 2.6 cm in diameter, with irregular contours and 5 mm peripheral calcification is noted. There is some mesenteric fat and vascular retraction without any signs of vascular infiltration. This lesion demonstrates similar enhancement pattern in both arterial and venous phase.
Case Discussion
The mesenteric mass was biopsied and was consistent with a carcinoid tumor with hepatic metastases.
Sometimes carcinoid tumors can spread and release high levels of hormones, resulting in carcinoid syndrome. The symptoms of carcinoid syndrome vary depending on what hormones are being released into the bloodstream, but may include flushing of the skin on the face and chest, diarrhea, and wheezing and shortness of breath.
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