Small bowel carcinoid tumor

Case contributed by Dr Franco A. Scola

Presentation

Vague chronic abdominal pain.

Patient Data

Age: 40 years
Gender: Male
CT

A coarsely calcified and spiculated mass in the mesentery adjacent to a thickened segment of small bowel, with retraction and stranding of the mesentery is seen. Spoke-wheel arrangement of local mesenteric vessels 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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