Small bowel carcinoid tumour

Case contributed by Dr Franco A. Scola

Presentation

Vague chronic abdominal pain.

Patient Data

Age: 40
Gender: Male
CT

CT scan shows a coarsely calcified and spiculated mass in the mesentery adjacent to a thickened segment of small bowel, with retraction and stranding of the mesentery. Spoke-wheel arrangement of local mesenteric vassels are also noticed.

There are some nodular formations that projects into the lumen of the proximal thickened intestinal segment.

There is no evidence of liver metastasis.

Case Discussion

This case illustrates a classic presentation of jejunal and ileal carcinoids with metastatic disease in the mesenteric regional lymph nodes, mesenteric fibrosis and luminal nodular formations that are suggestive of polypoid/nodular carcinoids of the mucosa/submucosa.

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Case information

rID: 49964
Case created: 12th Dec 2016
Last edited: 11th Jun 2017
Inclusion in quiz mode: Excluded

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