Diagnosis of Terminal Ileum Carcinoid Tumor Despite Prior Screening Colonoscopies—Making the Case for Routine Terminal Ileoscopy During Colon Cancer Surveillance: A Case Report
Document Type
Abstract
Publication Date
10-1-2019
Publication Title
The American Journal of Gastroenterology
Volume
114
First page number:
S1428
Last page number:
S1429
Abstract
The term carcinoid is generally applied to well-differentiated neuroendocrine tumors originating in the tubular digestive tract, lungs or rare primary sites. Small bowel neuroendocrine tumors may be asymptomatic at presentation and found incidentally. Among symptomatic patients, 40% experience abdominal pain as an initial symptom. The pain is usually vague, nonspecific and misconstrued to represent irritable bowel syndrome for years before a diagnosis is made. A diagnosis may be delayed, or even missed, due to terminal ileum visualization not being a routine part of screening colonoscopy, a result of the perceived difficulty of the maneuver. We present the case of a female patient who was diagnosed with carcinoid tumor only after she became symptomatic despite having routine colonoscopy screening prior.
Disciplines
Gastroenterology | Oncology
Language
English
Repository Citation
Shafi, A.,
Lankarani, D. S.,
Dhindsa, B.,
Ohning, G.
(2019).
Diagnosis of Terminal Ileum Carcinoid Tumor Despite Prior Screening Colonoscopies—Making the Case for Routine Terminal Ileoscopy During Colon Cancer Surveillance: A Case Report.
The American Journal of Gastroenterology, 114
S1428-S1429.
http://dx.doi.org/10.14309/01.ajg.0000599916.67175.8c
