1. Metastatic carcinoid tumour in association with small bowel ischaemia and infarction
- Author
-
Gow Nm, de Gara Cj, Misiewicz Jj, Lovell D, and Payne-James Jj
- Subjects
Abdominal pain ,medicine.medical_specialty ,Urinary system ,medicine.medical_treatment ,Ischemia ,Infarction ,Carcinoid Tumor ,03 medical and health sciences ,0302 clinical medicine ,Embolus ,Laparotomy ,Intestine, Small ,medicine ,Humans ,Abdominal Neoplasms ,030212 general & internal medicine ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Prognosis ,030227 psychiatry ,Surgery ,Neoplasms, Unknown Primary ,Female ,medicine.symptom ,Vasculitis ,business ,Research Article - Abstract
Case reports Case 1: Routine investigations ofa 63-year-old woman with abdominal pain and weight loss were inconclusive. At laparotomy the peritoneum was studded with multiple tumour deposits. No primary was identified. The deposits were metastatic carcinoid tumour. Urinary 5 hydroxyindoleacetic acid (5HIAA) was normal. Twelve days postoperatively she developed severe abdominal pain, guarding and absent bowel sounds. At laparotomy the small bowel excluding the proximal 80 cm of jejunum was ischaemic. No mechanical or other cause for the ischaemia was evident. Resection and primary anastomosis was undertaken. There was evidence ofthrombosis, embolus or vasculitis. Twentyfour months after the second laparotomy she remains well with no clinical evidence of disease progression.
- Published
- 1990