A Case of Carcinoid Likely Causing Jejunal Intussusception

A 34-year-old female was admitted to Emergency Department with an abrupt onset of diffuse abdominal pain. A CT scan done prior to her transfer revealed significant dilated loops of bowel as well as multiple target signs with likely torsed bowel. The patient consented to an exploratory laparotomy. Du...

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Main Authors: Jennifer Matulich, Kelly Thurston, Dan Galvan, Subhasis Misra
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/949020
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author Jennifer Matulich
Kelly Thurston
Dan Galvan
Subhasis Misra
author_facet Jennifer Matulich
Kelly Thurston
Dan Galvan
Subhasis Misra
author_sort Jennifer Matulich
collection DOAJ
description A 34-year-old female was admitted to Emergency Department with an abrupt onset of diffuse abdominal pain. A CT scan done prior to her transfer revealed significant dilated loops of bowel as well as multiple target signs with likely torsed bowel. The patient consented to an exploratory laparotomy. During surgery, the proximal jejunum was found to be intussuscepted, a rare finding in an adult. There was evidence of mesenteric foreshortening throughout the small bowel and multiple whitish lesions within the mesentery, both consistent with the desmoplastic response that is characteristic of carcinoid. The interest for this case report comes from the patient’s surgical findings of jejunal intussusception as well as her extensive history, which includes a bowel resection with an ileocolic anastomosis for presumed ischemia and a carcinoid tumor in the stomach which had been removed endoscopically.
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spelling doaj-art-7cdaaaa7d36d438786544d54c57baeee2025-08-20T02:07:26ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/949020949020A Case of Carcinoid Likely Causing Jejunal IntussusceptionJennifer Matulich0Kelly Thurston1Dan Galvan2Subhasis Misra3Texas Tech University Health Sciences Center, 1400 South Coulter Street, Amarillo, TX 79106-1786, USATexas Tech University Health Sciences Center, 1400 South Coulter Street, Amarillo, TX 79106-1786, USATexas Tech University Health Sciences Center, 1400 South Coulter Street, Amarillo, TX 79106-1786, USATexas Tech University Health Sciences Center, 1400 South Coulter Street, Amarillo, TX 79106-1786, USAA 34-year-old female was admitted to Emergency Department with an abrupt onset of diffuse abdominal pain. A CT scan done prior to her transfer revealed significant dilated loops of bowel as well as multiple target signs with likely torsed bowel. The patient consented to an exploratory laparotomy. During surgery, the proximal jejunum was found to be intussuscepted, a rare finding in an adult. There was evidence of mesenteric foreshortening throughout the small bowel and multiple whitish lesions within the mesentery, both consistent with the desmoplastic response that is characteristic of carcinoid. The interest for this case report comes from the patient’s surgical findings of jejunal intussusception as well as her extensive history, which includes a bowel resection with an ileocolic anastomosis for presumed ischemia and a carcinoid tumor in the stomach which had been removed endoscopically.http://dx.doi.org/10.1155/2014/949020
spellingShingle Jennifer Matulich
Kelly Thurston
Dan Galvan
Subhasis Misra
A Case of Carcinoid Likely Causing Jejunal Intussusception
Case Reports in Surgery
title A Case of Carcinoid Likely Causing Jejunal Intussusception
title_full A Case of Carcinoid Likely Causing Jejunal Intussusception
title_fullStr A Case of Carcinoid Likely Causing Jejunal Intussusception
title_full_unstemmed A Case of Carcinoid Likely Causing Jejunal Intussusception
title_short A Case of Carcinoid Likely Causing Jejunal Intussusception
title_sort case of carcinoid likely causing jejunal intussusception
url http://dx.doi.org/10.1155/2014/949020
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