A CASE OF CARCINOID SYNDROME
Sundeep Darsi
A CASE OF CARCINOID SYNDROME
CHIEF COMPLAINTS
A female patient aged 55 yr presented to the surgical o.p day with a chief complaints of
Pain in the right lower half of abdomen since 5 months.
Altered bowel habits since 5 months.

H/O OF PRESENT ILLNESS
H/o of pain started insidiously 5 months back in the periumbilical and RIF which was continuous , gradually progressive , non radiating and colicky type of pain
Increased symptom of pain during defeacation
About 4-6 episodes / day
H/o of weight loss since last 4 months

PERSONAL HISTORY
Bowel habits are irregular
Attained menarche at 45 yrs of age

HISTOPAHOLOGY
ILEUM: Section studied shows mucosal ulceration.
IMPRESSION : RIGHT HEMICOLECTOMY
HISTOLOGICAL GRADE 2 (G2).
TNM STAGE- Stage llla – T4 N0 M0

Treatment
Surgical removal of primary tumor is the main stay
Lesions of SI <1cm in diameter , without ln involvement segmental resection

Differential diagnosis:
Ileocecal tuberculosis
Ca. of caecum
Rt. ovarian mass
Appendicular mass
Tumor of terminal ileum
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Mar 13, 2019Like