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Research Article Open access CC BY 4.0

Acute Presentation of the Neuroendocrine Tumor of the Terminal Ileum with Obstructive Ileus – Case Report

Jurij Janež

International Journal of Medical and Pharmaceutical Case Reports · pp. 1–4 · Published 12 Sep 2017

10.9734/IJMPCR/2017/37009

Abstract

Neuroendocrine tumors of the small bowel are rare neoplasms and are most commonly found in duodenum and terminal ileum. They can present with symptoms of carcinoid syndrome, intestinal obstruction, bleeding or  abdominal pain. The diagnosis is often not straight-forward because they are rare neoplasms and are frequently not readily considered  in the differential diagnosis. Also clinical manifestations  are nonspecific, lending the clinician no clue that points  directly to this entity. Even in advanced stage in the presence of nodal and distant metastases the survival is still severeal years. The mainstay of treatment of small intestinal neuroendocrine tumors is surgery. In this paper is presented a case of a middle-aged male patient with unusual and rare initial clinical manifestation of an ileal neuroendocrine tumor, causing  an acute intestinal obstruction, requiring an emergency operation.

Neuroendocrine tumor small intestine ileum ileus surgery.

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