• Severe intestinal ischemia as a presenting feature of metastatic ileal carcinoid tumor: role of MDCT with coronal reformation in the early diagnosis.

    Abdom Imaging. 2012 Aug;37(4):558-60.

    Martínez-Sapiña Llanas MJ, Ríos Reboredo A, Romay Cousido G, Romero González JA.

    Source

    Department of Radiology, Complejo Hospitalario Universitario A Coruña, Xubias de Arriba 84, 15006, A Coruña, Spain.

    Abstract

    Intestinal ischemia is a rare but potentially fatal complication of mesenteric metastasis of intestinal carcinoid tumor and its mechanism isn't entirely clear. We present a case of intestinal ischemia secondary to metastatic ileal carcinoid tumor diagnosed by CT that showed a small mesenteric mass with an extensive desmoplastic reaction causing an intense involvement of the small bowel. Improvements in CT technology with the use of MDCT scanners and advanced reformatting capabilities play an important role in the early diagnosis and accurate recognition of this entity and its need for immediate treatment.