Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumor
The primary malignant tumors of the small bowel are rare, representing 1 to 1.4% of all gastrointestinal tumors. We report a case of a 33 year-old women, admitted to our emergency department of visceral surgery for acute abdomen. The clinical examination revealed diffuse abdominal distension, defens...
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| Format: | Article |
| Language: | English |
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The Pan African Medical Journal
2015-09-01
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| Series: | The Pan African Medical Journal |
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https://www.panafrican-med-journal.com/content/article/22/6/pdf/6.pdf
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| _version_ | 1819001189144985600 |
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| author | Imad Lachhab Boubacar Zan Traoré Omar Saoud Yahia Zain Al Abidine Khedid Fouad Zouaidia Mahjoub Echarrab Mohamed Rachid Chkoff |
| author_facet | Imad Lachhab Boubacar Zan Traoré Omar Saoud Yahia Zain Al Abidine Khedid Fouad Zouaidia Mahjoub Echarrab Mohamed Rachid Chkoff |
| author_sort | Imad Lachhab |
| collection | DOAJ |
| description | The primary malignant tumors of the small bowel are rare, representing 1 to 1.4% of all gastrointestinal tumors. We report a case of a 33 year-old women, admitted to our emergency department of visceral surgery for acute abdomen. The clinical examination revealed diffuse abdominal distension, defenseless, the hernia orifices were free and the rectal examination was normal. The biological test showed no hydro electrolytic disorders with normal hemoglobin and normal renal function. The abdominal CT-Scan showed signs of bowel obstruction due to a volvulus with intussusception without ischemia. The patient was operated urgently; the exploration has revealed a small bowel obstruction in the ileum with volvulus, an intussusceptum associated with a retractile mesenteritis, and the hepatic exploration found no metastases. The patient underwent a bowel resection taking away the intussusceptum with the infiltrated mesentery. The postoperative course was uneventful. The pathological result has proved a well-differentiated neuroendocrine tumor with five free nodes. Through this observation, we aim to highlight that an obstruction of small bowel with volvulus and intussusception could be exceptionally due to a neuroendocrine tumor, this complication has enabled a relatively early diagnosis in the absence of metastases and a 6-month follow-up without recurrence is a demonstration. |
| first_indexed | 2024-12-20T22:45:15Z |
| format | Article |
| id | doaj.art-c7f5da4d8e994d2cbde4d5d67c8259d9 |
| institution | Directory Open Access Journal |
| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-20T22:45:15Z |
| publishDate | 2015-09-01 |
| publisher | The Pan African Medical Journal |
| record_format | Article |
| series | The Pan African Medical Journal |
| spelling | doaj.art-c7f5da4d8e994d2cbde4d5d67c8259d92022-12-21T19:24:23ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882015-09-0122610.11604/pamj.2015.22.6.71327132Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumorImad Lachhab0Boubacar Zan Traoré1Omar Saoud2Yahia Zain Al Abidine Khedid3Fouad Zouaidia4Mahjoub Echarrab5Mohamed Rachid Chkoff6 Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco Department of Pathology, IBN Sina University Hospital, Rabat, Morocco Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco The primary malignant tumors of the small bowel are rare, representing 1 to 1.4% of all gastrointestinal tumors. We report a case of a 33 year-old women, admitted to our emergency department of visceral surgery for acute abdomen. The clinical examination revealed diffuse abdominal distension, defenseless, the hernia orifices were free and the rectal examination was normal. The biological test showed no hydro electrolytic disorders with normal hemoglobin and normal renal function. The abdominal CT-Scan showed signs of bowel obstruction due to a volvulus with intussusception without ischemia. The patient was operated urgently; the exploration has revealed a small bowel obstruction in the ileum with volvulus, an intussusceptum associated with a retractile mesenteritis, and the hepatic exploration found no metastases. The patient underwent a bowel resection taking away the intussusceptum with the infiltrated mesentery. The postoperative course was uneventful. The pathological result has proved a well-differentiated neuroendocrine tumor with five free nodes. Through this observation, we aim to highlight that an obstruction of small bowel with volvulus and intussusception could be exceptionally due to a neuroendocrine tumor, this complication has enabled a relatively early diagnosis in the absence of metastases and a 6-month follow-up without recurrence is a demonstration. https://www.panafrican-med-journal.com/content/article/22/6/pdf/6.pdf intestinessmallvolvulusintussusceptionneuroendocrine tumor |
| spellingShingle | Imad Lachhab Boubacar Zan Traoré Omar Saoud Yahia Zain Al Abidine Khedid Fouad Zouaidia Mahjoub Echarrab Mohamed Rachid Chkoff Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumor The Pan African Medical Journal intestines small volvulus intussusception neuroendocrine tumor |
| title | Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumor |
| title_full | Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumor |
| title_fullStr | Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumor |
| title_full_unstemmed | Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumor |
| title_short | Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumor |
| title_sort | small bowel volvulus with intussusception an unusual revelation of neuroendocrine tumor |
| topic | intestines small volvulus intussusception neuroendocrine tumor |
| url |
https://www.panafrican-med-journal.com/content/article/22/6/pdf/6.pdf
|
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