Carcinoid tumor of the Ileum

Kalia, Vivek; Saggar, Kavita; Sandhu, P.; Ahluwalia, Archana; Vibhuti,

doi:10.4103/0971-3026.32256

Cited by 2 publications

(6 citation statements)

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“…20 Sonography of the bowel can depict pseudokidney sign due to wall thickening, associated lymphadenopathy and liver metastasis, but these finding are non-specific. 20 CT demonstrates the intestine, mesentery, lymph nodes and liver in a single examination and is used for staging the neoplasm as well as follow up after surgery or chemotherapy. It reveals a soft-density mass with spiculated borders and radiating strands with or without calcification in 80% of cases.…”

Section: Pathologist's Discussionmentioning

confidence: 98%

“…24 Plain abdominal skiagram may show curvilinear calcification but it is highly non-specific. 20 Barium studiesenteroclysis, follow-through examination -may show intramural or intraluminal filling defects in the distended ileum.…”

Section: Pathologist's Discussionmentioning

confidence: 98%

“…22 The tumor also elaborates serotonin and other histamine-like substances that can cause carcinoid syndrome, which is characterized by abdominal cramps, diarrhea, hepatomegaly, flushing, etc. 20,21 Carcinoids also have a tendency to metastasize to lymph nodes, liver and rarely bone. 21,23 The primary tumor is small and slow growing and is rarely demonstrated radiologically.…”

Section: Pathologist's Discussionmentioning

confidence: 99%

“…Most patients are asymptomatic but symptoms can vary from pain, intestinal obstruction (19%), weight loss (16%), palpable mass (14%), intussusception, perforation or gastrointestinal hemorrhage (rare). 20,21 The primary tumor is small; however it frequently evolves a fibrotic reaction with foreshortening and thickening of the mesentery. 22 The tumor also elaborates serotonin and other histamine-like substances that can cause carcinoid syndrome, which is characterized by abdominal cramps, diarrhea, hepatomegaly, flushing, etc.…”

Section: Pathologist's Discussionmentioning

confidence: 99%

“…Recently, [fluoro-18]-dopa PET has been used to image primary gastrointestinal carcinoid tumors and lymph node and organ metastases, with promising results. 20 Carcinoid tumors are low-grade, malignant epithelial (neuroendocrine) tumors. The usage of the term carcinoid is increasingly discouraged in favor of the term neuroendocrine tumor (NET).…”

Section: Pathologist's Discussionmentioning

confidence: 99%

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Recurrent small bowel obstruction in an elderly woman

Chandrasekar¹,

Murugesh²,

Murthy

et al. 2010

Indian J Gastroenterol

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A 62-year-old post menopausal woman presented with history of recurrent abdominal pain and vomiting of 2 years' duration. Pain was in the periumbilical region and right iliac fossa, colicky in nature and moderate to severe in intensity. It was associated with abdominal fullness and vomiting and each episode lasted 2-3 days, requiring hospitalization, intravenous fluids and other supportive therapy. There was no history of fever, weight loss, anorexia or altered bowel habits. She did not have any respiratory or cardiac symptoms. No details of previous admissions were available. There was no history to suggest diabetes mellitus, hypertension, tuberculosis, allergy, asthma or any major illness. She had abdominal pain and vomiting for 3 days prior to the current admission.Physical examination revealed that she was moderately built and adequately nourished. Temperature was normal, pulse 82/min, and blood pressure 130/80 mmHg. There was no pallor, icterus, lymphadenopathy or pedal edema. Abdominal examination revealed a soft abdomen with no evidence of organomegaly or free fluid. Bowel sounds were well heard and rectal examination was normal. Other systems examination was within normal limits.Investigations: Urinalysis was normal. Hemoglobin was 12.5 g/dL and blood smear showed normochromic, normocytic cells with normal WBCs. No parasites or immature cells were seen. WBC count was 6250/cumm (P60, L40). Platelet count was 140,000/cumm. Erythrocyte sedimentation rate was 15 mm at 1 h. Bleeding and clotting time were normal. Random blood sugar was 108 mg/dL, serum creatinine 0.9 mg/dL and blood urea 16 mg/dL. Liver function tests were normal. Prothrombin time was 13 seconds and serum calcium 10.5 mg/dL. Lipid profile was normal and the patient was negative for HIV antibody. A Mantoux test showed 10-mm induration after 72 h. Chest X-ray was normal, as were ECG and 2-D echocardiogram. Abdominal ultrasound scan showed a right adnexal mass measuring 5 cm × 4 cm and a left adnexal mass measuring 3 cm × 2 cm. The liver, spleen, kidneys and pancreas were normal. There was no lymphadenopathy or free fluid in the abdomen. CT scan of the abdomen showed a solid mass 5.9 cm × 5.5 cm × 5.7 cm in the right side of pelvis and another solid mass 2.6 cm × 1.7 cm in the left side of pelvis, which could be bilateral ovarian masses. Mild thickening of the wall of the terminal ileum and ileocecal junction were noted, which was considered to be possibly inflammatory. There was also suggestion of a hemangioma in the D9 vertebra. Colonoscopy showed an extrinsic bulge in the cecum and ascending colon with thickened and edematous ileocecal valve. The terminal ileum could not be entered. Biopsy from the cecum revealed only features of non specific colitis.A gynecology opinion was obtained. Vaginal examination revealed a palpable firm mass of 6 cm × 8 cm in the right fornix with minimum restriction of mobility; no distinct mass was palpable, but some fullness was appreciated in the left fornix. A diagnosis of right ovarian tumor was made and the gyn...

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Section: Pathologist's Discussionmentioning

confidence: 98%

Section: Pathologist's Discussionmentioning

confidence: 98%

Section: Pathologist's Discussionmentioning

confidence: 99%

Section: Pathologist's Discussionmentioning

confidence: 99%

Section: Pathologist's Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Recurrent small bowel obstruction in an elderly woman

Chandrasekar¹,

Murugesh²,

Murthy

et al. 2010

Indian J Gastroenterol

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Sarcoidosis mimicking metastatic carinoid on indium-111 pentetreotide scintigraphy

Rafiei¹,

Souza²,

Vijayakumar³

2011

Radiology Case Reports

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Carcinoid is a neuroendocrine neoplasm derived from primitive stem cells, occurring most frequently in the alimentary tract. Somatostatin-receptor scintigraphy with indium-111 pentetreotide is a sensitive and noninvasive technique for imaging carcinoid and its metastatic spread. However, nontumoral lesions such as sarcoidosis may also express somatostatin receptors, which may present a diagnostic dilemma in some patients. We present a case of sarcoidosis mimicking metastatic carcinoid on indium-111 pentetreotide scintigraphy in a patient with a history of carcinoid and intra-abdominal metastasis.

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Carcinoid tumor of the Ileum

Cited by 2 publications

References 0 publications

Recurrent small bowel obstruction in an elderly woman

Recurrent small bowel obstruction in an elderly woman

Sarcoidosis mimicking metastatic carinoid on indium-111 pentetreotide scintigraphy

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