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Goblet Cell Carcinoid (GCC) of the Appendix presenting as a Small Bowel Obstruction

Radiology Case Reports. 2020;15(8):1339-1343

 

Journal Homepage

Journal Title: Radiology Case Reports

ISSN: 1930-0433 (Online)

Publisher: Elsevier

Society/Institution: University of Washington

LCC Subject Category: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine

Country of publisher: United States

Language of fulltext: English

Full-text formats available: PDF, HTML

 

AUTHORS


Shaani Singhal, MBBS (Department of General Surgery, Dandenong Hospital, Melbourne, Victoria, Australia; Department of Anatomical Pathology, Monash Medical Centre, Melbourne, Victoria, Australia; Corresponding author.)

Ryan Hirsch, MBBS (Department of General Surgery, Dandenong Hospital, Melbourne, Victoria, Australia; Department of Anatomical Pathology, Monash Medical Centre, Melbourne, Victoria, Australia)

Yeu Sheng Ang, MBBS (Department of General Surgery, Dandenong Hospital, Melbourne, Victoria, Australia; Department of Anatomical Pathology, Monash Medical Centre, Melbourne, Victoria, Australia)

Asiri Arachchi, MBBS, FRACS (Department of General Surgery, Dandenong Hospital, Melbourne, Victoria, Australia; Department of Anatomical Pathology, Monash Medical Centre, Melbourne, Victoria, Australia)

Zoltan Hrabovszky, MBBS, FRACS (Department of General Surgery, Dandenong Hospital, Melbourne, Victoria, Australia; Department of Anatomical Pathology, Monash Medical Centre, Melbourne, Victoria, Australia)

Mikhail Fisher, MBBS, FRACS (Department of General Surgery, Dandenong Hospital, Melbourne, Victoria, Australia; Department of Anatomical Pathology, Monash Medical Centre, Melbourne, Victoria, Australia)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 8 weeks

 

Abstract | Full Text

A 68 year old male presented to our Emergency Department with a one-day history of right sided abdominal pain, distention and vomiting on a background of no previous abdominal surgery. Abdominal CT demonstrated a high grade, closed loop small bowel obstruction involving the terminal segment of the ileum. Also of significance was alow-density appendiceal nodule. A subsequent laparoscopy revealed the tip of the appendix adherent to the mesosigmoid colon, forming a tight band and consequent mechanical bowel obstruction. Furthermore, the meso-appendix was embedded with crystal deposits and extruding mucin. The decision was made to convert to laparotomy and perform a caecectomy. Immunohistochemistry demonstrated reactivity to synaptophysin, chromogranin A and CD56, confirming the diagnosis of Goblet Cell Carcinoid. A staging CT after this initial surgery revealed no metastasis. After discussion at our oncology MDT, the patient went on to receive a completion right hemicolectomy which revealed no further malignancy on histology. The patient otherwise progressed well, and made a good post-operative recovery.