Realini S, Soler R, Cereda W
Servizi di gastroenterologia e radiologia, Ospedale regionale di Mendrisio.
Schweiz Rundsch Med Prax. 1991 Feb 5;80(6):121-2.
We describe the case of a patient suffering from relapsing abdominal pain and vomiting over 4 years, in whom various radiological and endoscopic examinations remained normal. CT scan and MRI eventually showed a mesenteric mass corresponding to metastasis of an ileal carcinoid; this tumor was diagnosed only at laparotomy as well as his mesenteric and hepatic metastases. The different localization and clinical manifestations of carcinoid tumours as well as the difficulties of radiological diagnosis of tumours of the small bowel are mentioned; the diagnostic value of sonography. CT-scan and MRI in the diagnosis of hepatic metastasis is discussed.
我们描述了一名患者的病例，该患者4年来反复出现腹痛和呕吐症状，各种放射学和内镜检查结果均正常。CT扫描和MRI最终显示肠系膜肿块，对应于回肠类癌转移；该肿瘤仅在剖腹手术时才被诊断出来，同时还发现了肠系膜和肝转移。文中提到了类癌肿瘤的不同定位和临床表现，以及小肠肿瘤放射学诊断的困难；还讨论了超声、CT扫描和MRI在肝转移诊断中的价值。
