Open AccessIntestinal carcinoid tumour: Case report
Author(s) -
Gil Mussan-Chelminsky,
Pablo Vidal González,
Edgar Núñez-García,
Luis César Valencia-García,
Miguel Ángel Márquez-Ugalde
Publication year - 2015
Publication title -
cirugía y cirujanos
Language(s) - English
Resource type - Journals
ISSN - 2444-0507
DOI - 10.1016/j.circen.2015.10.015
Subject(s) - medicine , carcinoid tumour , exploratory laparotomy , gastroenterology , disease , bowel obstruction , laparotomy , carcinoid syndrome , carcinoid tumors , lymph node , general surgery , surgery
BackgroundCarcinoid of the small intestine, is a well-differentiated neuroendocrine tumour that rarely presents with clinical signs. This tumour can be associated with other conditions, such as inflammatory bowel disease, presenting a wide range of symptoms. In some cases they have an aggressive and highly symptomatic behaviour; thus, clinical suspicion must be high to make an early diagnosis.Clinical caseA 60 year-old male patient with Crohn's disease and gastrointestinal symptoms attributed to this disease within the last year. He presented with intestinal obstruction initially treated with conservative management with no improvement. Exploratory laparotomy was performed finding a mesenteric tumour that caused the bowel obstruction.Bowel resection with primary anastomosis was performed. The pathology report showed an intestinal carcinoid tumour with lymph node metastases. The patient recovered well, and was discharged without complications to continue medical treatment and follow-up by the Oncology department.ConclusionIn almost 42% of the cases, the most common site of carcinoid tumours is the small intestine, and of these, 41% are presented as locoregional disease. Patients with Crohn's disease present a higher incidence. In these cases, the most common presentation is an acute intestinal obstruction (90%). Surgery is usually curative, and follow up is important as the symptoms of Crohn's disease can hide any recurrence