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Multiple small-bowel carcinoids presenting with gastrointestinal hemorrhage: a case report
C J McNamee1, C Macarthur, L D Jewell
1Department of Surgery, University of Alberta, Edmonton.
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|August 1, 1990
Summary
Multiple small-bowel carcinoids caused recurrent gastrointestinal bleeding over 15 years. Early surgical intervention is crucial for diagnosis and treatment of these challenging lesions.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Gastrointestinal hemorrhage from small-bowel lesions presents diagnostic and therapeutic challenges.
- Accurate localization and definitive diagnosis of small-bowel lesions remain difficult despite advanced imaging.
Observation:
- A case of multiple small-bowel carcinoids causing recurrent upper gastrointestinal hemorrhages over a 15-year period is presented.
- The patient experienced multiple bleeding episodes over a decade and a half.
Findings:
- Multiple small-bowel carcinoids were identified as the source of chronic gastrointestinal bleeding.
- Despite modern diagnostic tools, pinpointing the exact location and confirming the diagnosis was challenging.
Implications:
- This case highlights the persistent difficulties in diagnosing and managing small-bowel tumors.
- Optimal treatment necessitates thorough clinical assessment and prompt surgical exploration for definitive management.