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Medical Journal of Islamic Republic of Iran، جلد ۲۵، شماره ۳، صفحات ۱۶۵-۱۶۹

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عنوان انگلیسی Small bowel obstruction by a terminal ileum carcinoid tumor: a case report
چکیده انگلیسی مقاله Abstract Carcinoid tumors are well differentiated neuroendocrine tumors with secretory components. These tumors are uncommon but the most common primary tumors of the distal small intestine. We present a rare terminal ileum carcinoid tumor presenting with a small bowel obstruction. A 65 years old man presented with intermittent, gen-eralized, dull and colicky abdominal pain accompanied with intermittent nausea, fever and chills for 1 year and post prandial generalized colicky abdominal pain from 5 days prior to admission. He also complained of weight loss and frequent constipations during recent year. His abdomen was soft with mild tenderness in periumbilical, right lower quadrant and left lower quadrant without guarding, rebound tenderness and palpable mass. Laborato-ry findings indicated anemia, and barium enema showed right lower quadrant mass effect in small intestine. Narrowing of terminal ileum was noted in colonoscopy. Free fluid in lower abdomen and pelvis with 37*28*25 paravertebral hypoechoic pelvic mass, without peristalsis was seen in abdomen and pelvic sonography. After mass localization in abdominal CT scan, laparotomy and excisional biopsy was performed. The diagnosis of carcinoid tumor was confirmed by pathologic report. Carcinoid tumors are rare tumors of the Gastro intestinal tract, however, they are the most common primary tumors of the small intestines. Most of these tumors have a very indolent course and may present with non specific symptoms. In view of the poor prognosis associated with the late diagnosis, it is imperative to think of this differential diagnosis in patients presenting with non specific symptoms and in intermittent partial bowel obstruction.
کلیدواژه‌های انگلیسی مقاله carcinoid tumors, small bowel obstruction, terminal ileum

نویسندگان مقاله سید حمید موسوی | seyed hamid moosavy
shahid mohammadi hospital, hormozgan univer-sity of medical sciences. hormozgan, iran.

سازمان های دیگر: Shahid Mohammadi Hospital

yasir andrabi | yasir andrabi
shahid mohammadi hospital, hormozgan university of medical sciences. hormozgan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی هرمزگان (Hormozgan university of medical sciences)
سازمان های دیگر: Shahid Mohammadi Hospital

سپهر اسماعیلی | sepehr esmaeeli
shahid mohammadi hospital, hormozgan university of medical sciences. hormozgan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی هرمزگان (Hormozgan university of medical sciences)
سازمان های دیگر: Shahid Mohammadi Hospital

عبدالرحیم امینی | abdolrahim amini
shahid mohammadi hospital, hormozgan university of medical sciences. hormozgan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی هرمزگان (Hormozgan university of medical sciences)
سازمان های دیگر: Shahid Mohammadi Hospital


نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-242&slc_lang=en&sid=en
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