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Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Oncology
  • Surgery
  • EX-VIVO RESECTION
  • MIDGUT CARCINOIDS
  • SMALL-BOWEL
  • NEUROENDOCRINE TUMORS
  • COMPUTED-TOMOGRAPHY
  • METASTASES
  • MANAGEMENT
  • FIBROSIS
  • SURGERY
  • ROOT

Partial abdominal evisceration and intestinal autotransplantation to resect a mesenteric carcinoid tumor

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Journal Title:

WORLD JOURNAL OF SURGICAL ONCOLOGY

Volume:

Volume 9, Number 1

Publisher:

, Pages 11-11

Type of Work:

Article

Abstract:

Background: Midgut carcinoids are neuroendocrine tumors that commonly metastasize to the intestinal mesentery, where they predispose to intestinal obstruction, ischemia and/or congestion. Because of their location, many mesenteric carcinoid tumors are deemed unresectable due to the risk of uncontrollable bleeding and prolonged intestinal ischemia.Case Presentation: We report the case of a 60-year-old male with a mesenteric carcinoid tumor obstructing his superior mesenteric vein, resulting in intestinal varices and severe recurrent GI bleeds. While his tumor was thought to be unresectable by conventional techniques, it was successfully resected using intestinal autotransplantation to safely gain access to the tumor. This case is the first described application of this technique to carcinoid tumors.Conclusions: Intestinal autotransplantation can be utilized to safely resect mesenteric carcinoid tumors from patients who were not previously thought to be surgical candidates. We review the literature concerning both carcinoid metastases to the intestinal mesentery and the use of intestinal autotransplantation to treat lesions involving the mesenteric root. © 2011 Kitchens et al; licensee BioMed Central Ltd.
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