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Background  Synchronous midgut carcinoids with gastrointestinal adenocarcinoma are a rare but recognised association.    Case presentation  The patient, a 74 year old woman, underwent anterior resection for a low rectal adenocarcinoma. Intra-operatively 3 serosal deposits of tumour were noted in the distal ileum. Histology revealed these to be ileal carcinoids.    Conclusion  During resection of a gastrointestinal tumour, a thorough inspection of the abdominal cavity should be undertaken to investigate the possibility of metastatic secondaries or a synchronous tumour as is reported in this case.

Synchronous association of rectal adenocarcinoma and three ileal carcinoids: a case report