Small bowel carcinoid tumor

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Abdominal pain with weight loss.

Patient Data

Age: 85 years
Gender: Female
ct

The CT scan demonstrates:

  • a lobulated enhancing soft tissue mass containing foci of calcification within the small bowel mesentery in the upper mid-pelvic region, measuring (70 x 68 x 28 mm) with a “spoke-like” appearance of mesenteric vessels and mild distortion of the adjacent small bowel loops
  • hepatic nodules in the left lobe and segment 4
  • heterogeneously enhancing right adrenal mass

The lungs are clear (not shown).

Case Discussion

CT features are suggestive of small bowel carcinoid tumor with hepatic and adrenal metastases.

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