EDITOR'S QUIZ: GI SNAPSHOT
EDITOR’S QUIZ: GI SNAPSHOT
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From question on page 1671
Computed tomography (CT) (fig 1) showed loops of thick walled distal small bowel and a 3x2 cm non-calcified mass within the bowel mesentery, surrounded by streaky fibrosis. There was no associated lymphadenopathy. Appearances were in keeping with a small bowel carcinoid tumour.
The histology slide of the resected bowel and mesentery (fig 2
) confirmed an infiltrating carcinoid tumour (right arrow) associated with sclerotic encasement and constriction of the mesenteric vessels (left arrow). This compromised the vascular supply leading to intestinal ischaemia, which was the cause for her symptoms rather than carcinoid syndrome.
[in a new window] Figure 2 Histology slide of the resected bowel and mesentery.
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Diarrhoea is a common feature of carcinoid syndrome and relates to the production and systemic release of serotonin and other peptide hormones by hepatic metastases. However, this patient’s liver ultrasound was normal. Another well recognised complication of midgut carcinoids is sclerosis of
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Gut 2005 54: 1671.[Extract] [Full Text] [PDF]
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