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Jejunal Intussusception: A Rare Presentation of Carcinoid Tumor.

Kannan U, Rahnemai-Azar AA, Patel AN, Gaduputi V, Shah AK - Case Rep Surg (2015)

Bottom Line: Pathological examination showed multifocal deposits of well-differentiated carcinoids in the jejunum.The liver and mesenteric deposits were positive for metastatic carcinoid.Patient recovered well without any complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Bronx Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY 10457, USA.

ABSTRACT
A 55-year-old male presented to the emergency department with sudden onset of diffuse abdominal pain for one day. Physical examination was remarkable for tenderness in the umbilical region. A CT scan of the abdomen showed intussusception involving the jejunum without any mass. The patient then underwent an exploratory laparotomy. During surgery, the distal jejunum was intussuscepted with mesenteric lymphadenopathy. Liver showed nodular deposits in both lobes of the liver. The involved small bowel segment was resected with primary anastomosis and liver was biopsied. Pathological examination showed multifocal deposits of well-differentiated carcinoids in the jejunum. The liver and mesenteric deposits were positive for metastatic carcinoid. Patient recovered well without any complications.

No MeSH data available.


Related in: MedlinePlus

Operative specimen of small bowel intussusception.
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fig2: Operative specimen of small bowel intussusception.

Mentions: Computed tomography (CT) of the abdomen suggested intussusception involving the jejunum without any mass as in Figure 1. Based on these findings, patient underwent exploratory laparotomy with findings of intussusception involving the jejunal segment with mesenteric lymphadenopathy (Figure 2). Liver had multiple nodular deposits involving both lobes. The small bowel segment involving the intussusception with 5 cm margin of adjacent normal intestine was resected and gastrointestinal tract was reconstituted. Postoperative period was uneventful.


Jejunal Intussusception: A Rare Presentation of Carcinoid Tumor.

Kannan U, Rahnemai-Azar AA, Patel AN, Gaduputi V, Shah AK - Case Rep Surg (2015)

Operative specimen of small bowel intussusception.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4499627&req=5

fig2: Operative specimen of small bowel intussusception.
Mentions: Computed tomography (CT) of the abdomen suggested intussusception involving the jejunum without any mass as in Figure 1. Based on these findings, patient underwent exploratory laparotomy with findings of intussusception involving the jejunal segment with mesenteric lymphadenopathy (Figure 2). Liver had multiple nodular deposits involving both lobes. The small bowel segment involving the intussusception with 5 cm margin of adjacent normal intestine was resected and gastrointestinal tract was reconstituted. Postoperative period was uneventful.

Bottom Line: Pathological examination showed multifocal deposits of well-differentiated carcinoids in the jejunum.The liver and mesenteric deposits were positive for metastatic carcinoid.Patient recovered well without any complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Bronx Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY 10457, USA.

ABSTRACT
A 55-year-old male presented to the emergency department with sudden onset of diffuse abdominal pain for one day. Physical examination was remarkable for tenderness in the umbilical region. A CT scan of the abdomen showed intussusception involving the jejunum without any mass. The patient then underwent an exploratory laparotomy. During surgery, the distal jejunum was intussuscepted with mesenteric lymphadenopathy. Liver showed nodular deposits in both lobes of the liver. The involved small bowel segment was resected with primary anastomosis and liver was biopsied. Pathological examination showed multifocal deposits of well-differentiated carcinoids in the jejunum. The liver and mesenteric deposits were positive for metastatic carcinoid. Patient recovered well without any complications.

No MeSH data available.


Related in: MedlinePlus