Intestinal Obstruction by Carcinoid Tumor in Ileum: A Case Report
Abstract
Intestinal obstruction is a challenge both clinically and management wise, often perturbing the surgeon. Post-operative
adhesions and as a component of long standing Hernias with superadded complication of irreducibility and obstruction form
the major etiological factors for intestinal obstruction. In tropical countries, intestinal tuberculosis of the ileocecal region
is another important cause. Crohn’s disease and small intestinal tumors are clinically very rare presentation in tropical
countries like India. We report a rare case of small intestinal obstruction with a constricting stricture in ileum without any
regional lymphadenopathy. After due investigations, explorative laparotomy was done, and resection with end to end
anastomosis was performed. The specimen was sent for histopathological examination. Biopsy proved it to be carcinoid
tumor, with local fi brosis.
References
emedicine.com. [Last accessed on 2010 Jul 22].
2. Burke AP, Thomas RM, Elsayed AM, Sobin LH. Carcinoids of the jejunum
and ileum: An immunohistochemical and clinicopathologic study of
167 cases. Cancer 1997;79:1086-93.
3. Marshall JB, Bodnarchuk G. Carcinoid tumors of the gut. Our experience
over three decades and review of the literature. J Clin Gastroenterol
1993;16:123-9.
4. Oberndorfer S. Karzinoide tumoren des dünndarms. Frankf Z Pathol
1987;1:426-9.
5. Broaddus RR, Herzog CE, Hicks MJ. Neuroendocrine tumors (carcinoid
and neuroendocrine carcinoma) presenting at extra-appendiceal sites in
childhood and adolescence. Arch Pathol Lab Med 2003;127:1200-3.
6. Khan AN, Carcinoid. Gastrointestinal. Emedicine, July, 2005. Available
from: http://www.emedicine.com. [Last accessed on 2010 Jul 25].
7. Gould M, Johnson RJ. Computed tomography of abdominal carcinoid
tumour. Br J Radiol 1986;59:881-5.
8. Yamaguchi T, Manabe N, Tanaka S, Fukumoto A, Shimamoto M, Nakao M,
et al. Multiple carcinoid tumors of the ileum preoperatively diagnosed
by enteroscopy with the double-balloon technique. Gastrointest Endosc
2005;62:315-8.
9. Strodel WE, Vinik AI, Thompson NW, Eckhauser FE, Talpas GB. Small
bowel carcinoid tumors and the carcinoid syndrome. In: Thompson NW,
Vinik AI, editors. Endocrine Surgery Update. New York, NY: Grune and
Stratton; 1983. p. 277-91.
10. Levy AD, Sobin LH. From the archives of the AFIP: Gastrointestinal
carcinoids: Imaging features with clinicopathologic comparison.
Radiographics 2007;27:237-57.
11. Basson MD, Ahlman H, Wangberg B, Modlin IM. Biology and management
of the midgut carcinoid. Am J Surg 1993;165:288-97.
12. Eriksson B, Klöppel G, Krenning E, Ahlman H, Plöckinger U,
Wiedenmann B. Consensus guidelines for the management of patients with
digestive neuroendocrine tumors – Well-differentiated jejunal-ileal tumor/
carcinoma. Neuroendocrinology 2008;87:8-19.
13. Picus D, Glazer HS, Levitt RG, Husband JE. Computed tomography of
abdominal carcinoid tumors. AJR Am J Roentgenol 1984;143:581-4.
14. Barclay TH, Schapira DV. Malignant tumors of the small intestine. Cancer
1983;51:878-81.