Small bowel carcinoid tumor causing intestinal ischemia: A case report with review of the literature

Farid Aassouani, MD; Ayoub Ettabyaoui, MD; Khadija Hinaje, MD; Mohamed Oussama Bahri, MD; Nizar El Bouardi; Karima Oualla; Meryem Haloua; Badreeddine Alami; El Bachir Benjelloun; Nadia Ismaili Alaoui; Meriem Boubbou; Mustapha Maâroufi; My Youssef Alaoui Lamrani

Radiology Case Reports (Oct 2022)

Small bowel carcinoid tumor causing intestinal ischemia: A case report with review of the literature

Farid Aassouani, MD,
Ayoub Ettabyaoui, MD,
Khadija Hinaje, MD,
Mohamed Oussama Bahri, MD,
Nizar El Bouardi,
Karima Oualla,
Meryem Haloua,
Badreeddine Alami,
El Bachir Benjelloun,
Nadia Ismaili Alaoui,
Meriem Boubbou,
Mustapha Maâroufi,
My Youssef Alaoui Lamrani

Affiliations

Farid Aassouani, MD: Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco; Corresponding author.
Ayoub Ettabyaoui, MD: Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Khadija Hinaje, MD: Department of Medical Oncology, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Mohamed Oussama Bahri, MD: Department of Visceral Surgery, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Nizar El Bouardi: Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Karima Oualla: Department of Medical Oncology, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Meryem Haloua: Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Badreeddine Alami: Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
El Bachir Benjelloun: Department of Visceral Surgery, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Nadia Ismaili Alaoui: Department of Nuclear Medicine, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Meriem Boubbou: Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
Mustapha Maâroufi: Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco
My Youssef Alaoui Lamrani: Department of Radiology and Interventional Imaging, CHU Hassan II, FEZ, Sidi Mohammed Ben Abdellah University, Morocco

Journal volume & issue: Vol. 17, no. 10
pp. 3523 – 3526

Abstract

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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.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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