Metastatic small intestinal neuroendocrine tumor presented with partial intestinal obstruction in Saudi Arabia: a case report.

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-05-17 eCollection Date: 2025-05-01 DOI:10.1093/jscr/rjaf307
Faris Alsobyani, Mansour Almalki, Hassan Abu Rokbah
{"title":"Metastatic small intestinal neuroendocrine tumor presented with partial intestinal obstruction in Saudi Arabia: a case report.","authors":"Faris Alsobyani, Mansour Almalki, Hassan Abu Rokbah","doi":"10.1093/jscr/rjaf307","DOIUrl":null,"url":null,"abstract":"<p><p>Well-differentiated neuroendocrine tumors (NETs) of the ileocecal region are rare but increasingly recognized gastrointestinal neoplasms. They often present vague symptoms, delaying diagnosis. Despite slow growth, these tumors can metastasize to the liver and bone, complicating management. Despite their indolent nature, these tumors can metastasize to the liver and bone, complicating treatment. We report a case of a 54-year-old woman with a one-year history of vague abdominal symptoms that worsened over the last 2 months. Contrast-enhanced computed tomography imaging revealed a mesenteric lesion leading to partial intestinal obstruction. Further imaging revealed liver and spine metastases. Colonoscopy confirmed an obstructing ileocecal mass, and biopsy identified a Grade 1 well-differentiated NET. The patient underwent laparoscopic right hemicolectomy with ileocolic anastomosis for symptom relief, followed by octreotide therapy. This case highlights the diagnostic and therapeutic challenges of metastatic ileocecal NETs and emphasizes the importance of a multidisciplinary approach for effective treatment and long-term stability.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf307"},"PeriodicalIF":0.4000,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085193/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/jscr/rjaf307","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Well-differentiated neuroendocrine tumors (NETs) of the ileocecal region are rare but increasingly recognized gastrointestinal neoplasms. They often present vague symptoms, delaying diagnosis. Despite slow growth, these tumors can metastasize to the liver and bone, complicating management. Despite their indolent nature, these tumors can metastasize to the liver and bone, complicating treatment. We report a case of a 54-year-old woman with a one-year history of vague abdominal symptoms that worsened over the last 2 months. Contrast-enhanced computed tomography imaging revealed a mesenteric lesion leading to partial intestinal obstruction. Further imaging revealed liver and spine metastases. Colonoscopy confirmed an obstructing ileocecal mass, and biopsy identified a Grade 1 well-differentiated NET. The patient underwent laparoscopic right hemicolectomy with ileocolic anastomosis for symptom relief, followed by octreotide therapy. This case highlights the diagnostic and therapeutic challenges of metastatic ileocecal NETs and emphasizes the importance of a multidisciplinary approach for effective treatment and long-term stability.

转移性小肠神经内分泌肿瘤表现为部分肠梗阻在沙特阿拉伯:1例报告。
回盲区的高分化神经内分泌肿瘤(NETs)是一种罕见的胃肠道肿瘤。他们通常表现出模糊的症状,延误了诊断。尽管生长缓慢,但这些肿瘤可以转移到肝脏和骨骼,使治疗复杂化。尽管它们的性质是惰性的,但这些肿瘤可以转移到肝脏和骨骼,使治疗复杂化。我们报告一例54岁的女性,有一年的腹部模糊症状,并在过去2个月恶化。增强计算机断层扫描显示肠系膜病变导致部分肠梗阻。进一步影像学显示肝脏和脊柱转移。结肠镜检查证实梗阻性回盲肿块,活检发现1级高分化NET。患者行腹腔镜右半结肠切除术并回肠结肠吻合术缓解症状,随后行奥曲肽治疗。本病例强调了转移性回盲NETs的诊断和治疗挑战,并强调了多学科方法对有效治疗和长期稳定的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信