Ballard David H, Fransman Ryan B, Sangster Guillermo P, Ayo Matthew, Samra Navdeep S
Mallinckrodt Institute of radiology.
Johns Hopkins Hospital.
J La State Med Soc. 2017 Jan-Feb;169(1):15-17. Epub 2017 Feb 15.
Carcinoid tumors are the most common form of gut neuroendocrine tumors, however, they rarely present with small bowel obstruction. We present a case of a 65-year-old woman without prior abdominal operations who presented with symptoms of small bowel obstruction. Computed tomography (CT) showed multiple air fluid levels and a transition point in the left mesentery with two soft tissue densities at the same level. The patient was taken to the operating room for surgical exploration, which showed two intramural masses in the mid and distal jejunum, which surgical pathology showed to be stage IIIB carcinoid tumor.
类癌肿瘤是肠道神经内分泌肿瘤最常见的形式，然而，它们很少表现为小肠梗阻。我们报告一例65岁女性患者，既往无腹部手术史，出现小肠梗阻症状。计算机断层扫描（CT）显示多个气液平面以及左肠系膜处的一个移行点，在同一层面有两个软组织密度影。患者被送往手术室进行手术探查，结果显示空肠中段和远端有两个壁内肿块，手术病理显示为IIIB期类癌肿瘤。
