Presentation
A week of increasing abdominal pain, nausea, and vomiting.
Patient Data
Small mesenteric solid mass of 1.8 x 1.2 x 1.1 cm, with a dot of calcification. Distal ileum ischaemic changes with relatively reduced wall enhancement. The jejunum and proximal ileal loops are dilated to 3.8 cm. Mild free fluid.
Incidental finding: two-side nephrolithiasis, without hydronephrosis, and renal cysts. No visible metastasis in the liver.
The blue circle is mesenteric carcinoid. Red and green triangles show the difference between the blood flow of the small bowel.
Case Discussion
The patient was operated on, the tumour was removed, and an 80 cm ischaemic ileum segment was resected. The histopathological study demonstrated a mesenteric neuroendocrine carcinoid tumour.
Gastrointestinal neuroendocrine tumours, commonly called carcinoids, are relatively rare. Symptoms associated with intestinal ischaemia may be the only manifestation in patients with carcinoid tumours. This tumour may be small, and intestinal complications can be prevented by early diagnosis and removal of the tumour.
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