A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception

Carcinoid tumours are neuroendocrine tumours which arise from the enterochromaffin cells in the gastrointestinal and bronchopulmonary systems. The presentation of multiple gastrointestinal carcinoids with jejunal intussusception is rare, and the diagnosis may be challenging. A 49-year-old patient wi...

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Main Authors: Kavinda Deshapriya Bandara, Sanjeevan Ravindrakumar, Kirushanthan Veerasingam, Umesh Jayarajah, V. S. D. Rodrigo
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2021/5525086
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author Kavinda Deshapriya Bandara
Sanjeevan Ravindrakumar
Kirushanthan Veerasingam
Umesh Jayarajah
V. S. D. Rodrigo
author_facet Kavinda Deshapriya Bandara
Sanjeevan Ravindrakumar
Kirushanthan Veerasingam
Umesh Jayarajah
V. S. D. Rodrigo
author_sort Kavinda Deshapriya Bandara
collection DOAJ
description Carcinoid tumours are neuroendocrine tumours which arise from the enterochromaffin cells in the gastrointestinal and bronchopulmonary systems. The presentation of multiple gastrointestinal carcinoids with jejunal intussusception is rare, and the diagnosis may be challenging. A 49-year-old patient with adult onset bronchial asthma presented with pain around the umbilical region for 1-day duration. Physical examination revealed only mild abdominal tenderness. Abdominal computed tomography revealed small bowel intussusception with two separate highly vascular tumours arising in the small bowel mesentery. Exploratory laparotomy was done, with resection of the tumours arising from the small bowel mesentery and the proximal jejunum causing the intussusception which were excised. Histopathological diagnosis confirmed the presence of a Grade 1 carcinoid tumour of classic type. After surgery, he had an uneventful recovery and was asymptomatic. Carcinoid tumours are a very rare cause of adult intussusception. So far, there have been only two reported cases of jejunal intussusception secondary to carcinoid tumours. These will require a combination of surgical intervention and systemic therapy in selective cases for complete management.
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institution Kabale University
issn 2090-6900
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language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-37305398abe3499689f16d3ea0c077d02025-02-03T05:52:56ZengWileyCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/55250865525086A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal IntussusceptionKavinda Deshapriya Bandara0Sanjeevan Ravindrakumar1Kirushanthan Veerasingam2Umesh Jayarajah3V. S. D. Rodrigo4Department of Surgery, District General Hospital Chilaw, Chilaw, Puttalam District, Sri LankaDepartment of Surgery, District General Hospital Chilaw, Chilaw, Puttalam District, Sri LankaDepartment of Surgery, District General Hospital Chilaw, Chilaw, Puttalam District, Sri LankaDepartment of Surgery, District General Hospital Chilaw, Chilaw, Puttalam District, Sri LankaDepartment of Surgery, District General Hospital Chilaw, Chilaw, Puttalam District, Sri LankaCarcinoid tumours are neuroendocrine tumours which arise from the enterochromaffin cells in the gastrointestinal and bronchopulmonary systems. The presentation of multiple gastrointestinal carcinoids with jejunal intussusception is rare, and the diagnosis may be challenging. A 49-year-old patient with adult onset bronchial asthma presented with pain around the umbilical region for 1-day duration. Physical examination revealed only mild abdominal tenderness. Abdominal computed tomography revealed small bowel intussusception with two separate highly vascular tumours arising in the small bowel mesentery. Exploratory laparotomy was done, with resection of the tumours arising from the small bowel mesentery and the proximal jejunum causing the intussusception which were excised. Histopathological diagnosis confirmed the presence of a Grade 1 carcinoid tumour of classic type. After surgery, he had an uneventful recovery and was asymptomatic. Carcinoid tumours are a very rare cause of adult intussusception. So far, there have been only two reported cases of jejunal intussusception secondary to carcinoid tumours. These will require a combination of surgical intervention and systemic therapy in selective cases for complete management.http://dx.doi.org/10.1155/2021/5525086
spellingShingle Kavinda Deshapriya Bandara
Sanjeevan Ravindrakumar
Kirushanthan Veerasingam
Umesh Jayarajah
V. S. D. Rodrigo
A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception
Case Reports in Surgery
title A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception
title_full A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception
title_fullStr A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception
title_full_unstemmed A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception
title_short A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception
title_sort patient with multiple gastrointestinal carcinoid tumours presenting with jejunal intussusception
url http://dx.doi.org/10.1155/2021/5525086
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