[Computed tomographic detection of a small bowel carcinoid]

Carcinoid tumors are localized in the terminal ileum, in the appendix, in the stomach-duodenum and the colon. The local infiltrative process provokes an intense fibro-sclerotic reaction in the mesentery. In 30% of the cases they cause metastases in the lymph nodes, in the liver and seldom in the lungs. We describe a patient with symptoms of incomplete obstruction who had a mass in the right abdominal quadrant. CT showed an ileal tumor with fibro-sclerotic infiltration of the mesentery, typical of carcinoid tumor, and metastases in cardiophrenic angle nodes.