scholarly journals A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Kavinda Deshapriya Bandara ◽  
Sanjeevan Ravindrakumar ◽  
Kirushanthan Veerasingam ◽  
Umesh Jayarajah ◽  
V. S. D. Rodrigo
Keyword(s):  
Small Bowel ◽  
Carcinoid Tumour ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Adult Intussusception ◽  
Histopathological Diagnosis ◽  
Proximal Jejunum ◽  
Small Bowel Mesentery ◽  
Carcinoid Tumours ◽  
Gastrointestinal Carcinoid

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.

scholarly journals Subtotal Gastrectomy for Atypical Carcinoid of Stomach– A Rare Tumour

2016 ◽  
Vol 12 (2) ◽  
pp. 145-148
Author(s):  
SM Shahadat Hossain ◽  
Md Mahbubur Rahman ◽  
Md Rayhan Mahmud ◽  
Farhana Israt Jahan
Keyword(s):  
Gastrointestinal Tract ◽  
Carcinoid Tumour ◽  
Subtotal Gastrectomy ◽  
Armed Forces ◽  
Gastric Carcinoid ◽  
Rare Tumour ◽  
Carcinoid Tumours ◽  
Medical College ◽  
Gastric Carcinoids ◽  
Gastrointestinal Carcinoid

The term carcinoid was first employed by Oberndorfer in 1907 to describe a group of tumours of the gastrointestinal tract that had a relatively indolent course and that were considered to be intermediate between adenoma and carcinoma in malignant potential. Gastrointestinal carcinoid tumours are a type of cancer that form in the lining of the gastrointestinal tract originating from entero-chromaffin like (ECL) cells. Gastric carcinoid tumours are rare tumors that develop within the gastric mucosa. They can present as an isolated lesion or there can be multiple lesions. The tumours can invade locally into deeper structures of the gastrointestinal tract (GIT) wall. Solitary gastric carcinoids have a greater chance for the development of malignancy and metastases as compared to multiple gastric carcinoids due to hypergastrinemia. A 60 years old man presented with abdominal pain, vomiting and weight loss and was found to have carcinoid tumour of stomach without classic carcinoid syndrome (CS). Despite advances in the understanding of patho-physiology of carcinoid tumour its complications remain enigmatic. Early, accurate diagnosis and aggressive treatment is recommended. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 145-148

scholarly journals Jejuno-jejunal intussusception secondary to diffuse intestinal lipomatosis

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Renee Angela Tabone ◽  
Tom DeGreve ◽  
Peita Webb ◽  
Peter Yuide
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Endoscopy ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Adult Intussusception ◽  
Structural Abnormality ◽  
Successful Approach ◽  
Rare Diagnosis

Abstract A 25-year-old man presented to the emergency department with severe abdominal pain and vomiting. He had previously presented 10 days prior with similar symptoms. Computed tomography imaging showed a large jejuno-jejunal intussusception. Multiple intestinal masses were identified intraoperatively with the rare diagnosis of intestinal lipomatosis later confirmed via histopathology. Diagnosis and management of rare surgical pathologies is always challenging. Intussusception should always be considered as a differential diagnosis for abdominal pain in adults, as adult intussusception is typically due to a structural abnormality with majority of cases requiring surgical intervention. Exploratory laparotomy with segmental resection and primary anastomosis proved to be a successful approach in our case, with the patient having an uneventful recovery. Follow-up has consisted of gastrointestinal endoscopy and colonoscopy, which have not demonstrated any further lipomas.

scholarly journals Multiple submucosal lipomas of small intestine: a case report

2020 ◽  
Vol 7 (9) ◽  
pp. 3133
Author(s):  
Kritika Tiwari ◽  
Rhishikesh J. Raghuvanshi ◽  
Anuja Athale ◽  
Suresh G. Deshpande
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Small Bowel ◽  
Hypertensive Patient ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Exploratory Laparotomy ◽  
Adult Intussusception ◽  
Asymptomatic Adult

Small bowel obstruction can be due to benign or malignant pathologies. Gastro intestinal lipomas are one of the benign subepithelial tumours causing obstruction. These are usually detected incidentally if asymptomatic. Adult intussusception due to intestinal lipoma is a very rare cause. We are presenting a case of male hypertensive patient with features of multiple subacute obstruction due to multiple submucosal lipomas in ileum. Exploratory laparotomy with intra-operative enteroscopy was performed and resection-anastomosis of affected segment was done.

Management of a linear foreign body gastrointestinal obstruction in a miniature pig

2019 ◽  
Vol 7 (3) ◽  
pp. e000791
Author(s):  
Anna Ehrle ◽  
Amy Gillespie ◽  
Luis M Rubio-Martinez
Keyword(s):  
Foreign Body ◽  
Hospital Care ◽  
Intestinal Resection ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Proximal Jejunum ◽  
Miniature Pig ◽  
Foreign Material ◽  
Gastrointestinal Obstruction ◽  
Small Intestinal

A four-year-old miniature pot-bellied pig was presented for treatment of suspected foreign body ingestion. Exploratory laparotomy identified a linear foreign body obstructing the pylorus, duodenum and proximal jejunum. In order to avoid small intestinal resection, combined gastrotomy and enterotomy of the proximal jejunum was performed to evacuate the foreign body. Necrotic areas at the enteromesenteric junction were oversewn. The foreign material was found to be part of a duvet the owners had provided as bedding for the pig. The pig made an uneventful recovery and was discharged from hospital care four days after surgery.

scholarly journals Apixaban-induced haematoma causing small bowel intussusception

2019 ◽  
Vol 12 (10) ◽  
pp. e230952 ◽  
Author(s):  
Ariel P Santos ◽  
Jennifer M Rodriguez ◽  
Grace Berry
Keyword(s):  
Atrial Fibrillation ◽  
Small Bowel ◽  
Histopathological Examination ◽  
Exploratory Laparotomy ◽  
Adult Intussusception ◽  
Radiographic Findings ◽  
Vein Thrombosis ◽  
Small Bowel Intussusception ◽  
Direct Acting ◽  
Deep Vein

Apixaban (Eliquis) is a direct acting oral anticoagulant (DOAC) indicated for treatment of deep vein thrombosis, non-valvular atrial fibrillation, pulmonary embolism and postoperative venous thromboprophylaxis following hip or knee replacement. Complications are minimal and include, but are not limited to, bleeding and intracranial haemorrhage, and haematoma formation. Our patient is a 73-year-old woman who presented with clinical and radiographic findings of small bowel obstruction. She was found to be taking apixaban for atrial fibrillation. CT scan showed small bowel intussusception. She underwent an exploratory laparotomy and resection of the small bowel intussusception with primary side-to-side anastomosis. Histopathological examination showed that the intussusception was caused by an intramural haematoma. This case presents a rare instance of adult intussusception caused by a DOAC. To our knowledge, no case of intussusception caused by apixaban has yet been found in literature.

scholarly journals Delayed Presentation of Intussusception with Perforation after Splenectomy in Patient with Blunt Abdominal Trauma

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Ibrahim Afifi ◽  
Hassan Al-Thani ◽  
Sajid Attique ◽  
Sherwan Khoschnau ◽  
Ayman El-Menyar ◽  
...  
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Delayed Diagnosis ◽  
Rare Event ◽  
Exploratory Laparotomy ◽  
Adult Intussusception ◽  
Delayed Presentation ◽  
Ileocecal Junction ◽  
Fall From Height

Adult intussusception (AI) following blunt abdominal trauma (BAT) is a rare surgical condition. We present a case of delayed diagnosis of ileocecal junction intussusception with a perforation of small bowel in a 34-year-old male with a history of fall from height. Initial exploratory laparotomy revealed shattered spleen requiring splenectomy. Initial abdominal computerized tomography scanning (CT) scan showed dilated small bowel with no organic obstruction. Patient started to improve with partial distention and was shifted to rehabilitation unit. On the next day, he experienced severe abdominal distention and vomiting. Abdominal CT showed characteristic intussusception at the distal ileum. Secondary exploratory laparotomy revealed severe adhesions of stomach and small bowel to the anterior abdominal wall with dilated small bowel loops and intussusception near the ileocecal junction with perforation of small bowel. The affected area was resected and side-to-side stapled anastomosis was performed. Though small bowel intussusception is a rare event, BAT patients with delayed symptoms of bowel obstruction should be carefully evaluated for missed intussusception.

scholarly journals Intermittent Bowel Obstruction Due to a Retained Wireless Capsule Endoscope in a Patient with a Small Bowel Carcinoid Tumour

2007 ◽  
Vol 21 (2) ◽  
pp. 113-115 ◽  
Author(s):  
Jonathan R Strosberg ◽  
David Shibata ◽  
Larry K Kvols
Keyword(s):  
Small Bowel ◽  
Bowel Obstruction ◽  
Carcinoid Tumour ◽  
Exploratory Laparotomy ◽  
Capsule Endoscope ◽  
Metastatic Carcinoid ◽  
First Case ◽  
Partial Small Bowel Obstruction ◽  
History Of ◽  
Wireless Capsule

A 43-year-old man with a history of metastatic carcinoid disease is presented. The patient had symptoms of chronic intermittent abdominal pain two years after undergoing a wireless capsule endoscopy procedure. Radiological examinations revealed a retained capsule endoscope, and the patient underwent exploratory laparotomy with capsule retrieval. To the authors’ knowledge, this is the first case presentation of chronic, partial small bowel obstruction caused by unrecognized retention of a capsule endoscope.

scholarly journals Thymic Carcinoid Tumour

2002 ◽  
Vol 9 (3) ◽  
pp. 215-216 ◽  
Author(s):  
Isabel Parra ◽  
Antonia Remacha ◽  
Serafín Costilla ◽  
José Antonio Santos Calderon
Keyword(s):  
Fine Needle Aspiration ◽  
Carcinoid Tumour ◽  
Needle Aspiration ◽  
Thymic Carcinoid ◽  
Fine Needle ◽  
X Ray ◽  
Carcinoid Tumours ◽  
Chest X Ray

Carcinoid tumours of the thymus are rare. The case of a 57-year-old asymptomatic man with a carcinoid tumour of the thymus, who showed a widened mediastinum by chest x-ray, is presented. Fine needle aspiration suggested the diagnosis, which was confirmed by biopsy.

scholarly journals Small Bowel Obstruction Induced by Concurrent Postoperative Intra-Abdominal Adhesions and Small Bowel Fecal Materials in a Young Dog

2021 ◽  
Vol 8 (5) ◽  
pp. 83
Author(s):  
Jae-Eun Hyun ◽  
Hyun-Jung Han
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Gastrointestinal Symptoms ◽  
Exploratory Laparotomy ◽  
Abdominal Adhesions ◽  
Abdominal Radiography ◽  
Foreign Body Removal ◽  
Small Intestinal

A 7-month-old neutered male poodle dog presented with general deterioration and gastrointestinal symptoms after two separate operations: a jejunotomy for small-intestinal foreign body removal and an exploratory laparotomy for diagnosis and treatment of the gastrointestinal symptoms that occurred 1 month after the first surgery. The dog was diagnosed as having small-bowel obstruction (SBO) due to intra-abdominal adhesions and small-bowel fecal material (SBFM) by using abdominal radiography, ultrasonography, computed tomography, and laparotomy. We removed the obstructive adhesive lesion and SBFM through enterotomies and applied an autologous peritoneal graft to the released jejunum to prevent re-adhesion. After the surgical intervention, the dog recovered quickly and was healthy at 1 year after the surgery without gastrointestinal signs. To our knowledge, this study is the first report of a successful treatment of SBO induced by postoperative intra-abdominal adhesions and SBFM after laparotomies in a dog.

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