Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | joi, 22 august 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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INTESTINAL OBSTRUCTION BY MALIGNANT CARCINOID OF THE SMALL BOWEL WITH LIVER METASTASIS
Elena Gologan (1,2), Dorin Achiţei (2), Adrian Pantazescu (3)
(1) Universitatea de Medicină si Farmacie “Gr. T. Popa”, Iaşi
(2) Institutul de Gastroenterologie şi Hepatologie, Iaşi
(3) Spitalul Clinic de Urgenţe “Sf. Ioan”, Iasi
Jurnalul de chirurgie 2010; 6 (4): 543-547
Full text:
Format PDF (Română/Romanian)

Abstract:

The patient MM, 62 years old, was admitted in the Institute of Gastroenterology and Hepatology, Iasi, for the investigation of a liver tumor identified at ultrasound examination and accusing: dispneea, sporadic diarrhea, cutaneous flush and a significant weight loss of recent history. The clinical examination revealed a hepatomegaly and a tumour in the lower right quadrant of the abdomen. Laboratory usual analysis were normal. At ultrasound imaging there was identified a solid unomogenous liver tumor invading the middle hepatic vein. Colonoscopy was normal. Contrast computedtomography revealed a terminal ileum tumor with  regional enlarged limph nodes and liver metastasis. Suspecting a carcinoid tumor the level of serum serotonine was 5 times higher than normal. The evolution was marked by an intestinal occlusion wich required surgery (ileo-right hemicolectomy with termino-terminal anastomosis) but in the 13-th day the patient died by pulmonar embolism.

KEY WORDS: CARCINOID OF THE SMALL BOWEL, LIVER METASTASIS, INTESTINAL OBSTRUCTION

Correspondence to: Dr. Elena Gologan, Institutul de Gastroenterologie şi Hepatologie, Iaşi, str. Independenţei, nr. 1, 700111, e-mail: .



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.