Presentation
Abdominopelvic pain.
Patient Data
The liver is enlarged and contains multiple hypodense masses which show arterial phase hyperenhancement with delayed washout after contrast injection, the largest one is 76 mm.
A 40 mm enhancing mass is noted at middle part of mesentery which contain a small focus of calcification and causes surrounding small bowel retraction.
There is a 46 mm multilocular cyst at right adnexa.
Some ascitis is noted at pelvic cavity.
Case Discussion
Mesenteric mass; pathology proven carcinoid tumor with hepatic hypervascular metastasis.
Carcinoid tumor is a type of neuroendocrine tumor that can occur in a number of locations. Gastrointestinal tract, particularly small bowel, mostly terminal ileum is the common site of carcinoid tumors.
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