Small bowel carcinoid tumor causing intestinal ischemia: A case report with review of the literature |
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| Authors: | Farid Aassouani,Ayoub Ettabyaoui,Khadija Hinaje,Mohamed Oussama Bahri,Nizar El Bouardi,Karima Oualla,Meryem Haloua,Badreeddine Alami,El Bachir Benjelloun,Nadia Ismaili Alaoui,Meriem Boubbou,Mustapha Maâ roufi,My Youssef Alaoui Lamrani |
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| Affiliation: | aDepartment of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco;bDepartment of Medical Oncology, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco;cDepartment of Visceral Surgery, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco;dDepartment of Nuclear Medicine, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco |
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| Abstract: | Background: Intestinal carcinoid tumors are well-differentiated neuroendocrine tumors that are capable of secreting bioactive hormones and/or amines; These tumors are uncommon but are the most common primary tumors of the small intestine. Case presentation: We report the case of an 80-year-old woman who presented with a long history (about 14 years ago) of atypical digestive symptoms such as vague abdominal pain, alternating diarrhea, and constipation, treated as functional colopathy without improvement, until the day when she presented with worsening pain that prompted her consultation. CT scan revealed typical manifestations of a carcinoid tumor associated with signs of subacute small bowel ischemia. Despite the surgery being considered a gold standard treatment, it was rejected due to the extent of tumor mesenteric involvement, therefore, the patient received only somatostatin treatment. Conclusion: Small bowel carcinoid tumors are rare, with typical imaging features based on cross-sectional imaging (CE CT/MRI). Intestinal ischemia is a well-known complication that can be a factor in mortality. |
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| Keywords: | Carcinoid Small bowel Neuroendocrine tumors |
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