Primary carcinoid tumour of the ileum associated with massive gastrointestinal haemorrhage

A case of massive gastrointestinal haemorrhage due to a 3 mm primary carcinoid tumour of the ileum is described. Previously described instances of this problem have been due to larger tumours. The site of the haemorrhage was suggested by a technetium-labelled RBC isotope scan. The lesion was visualized by 'on-table' endoscopy via the colon and ileo-caecal valve. The patient did well after segmental resection of the lesion. This case highlights the diagnosis and current approach to massive lower gastrointestinal haemorrhage.