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Case Reports in Surgery
Volume 2015, Article ID 260697, 3 pages
http://dx.doi.org/10.1155/2015/260697
Case Report

Jejunal Intussusception: A Rare Presentation of Carcinoid Tumor

1Department of Surgery, Bronx Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY 10457, USA
2Department of Medicine, Bronx Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, NY 10457, USA

Received 22 March 2015; Accepted 16 June 2015

Academic Editor: Fernando Turégano

Copyright © 2015 Umashankkar Kannan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 55-year-old male presented to the emergency department with sudden onset of diffuse abdominal pain for one day. Physical examination was remarkable for tenderness in the umbilical region. A CT scan of the abdomen showed intussusception involving the jejunum without any mass. The patient then underwent an exploratory laparotomy. During surgery, the distal jejunum was intussuscepted with mesenteric lymphadenopathy. Liver showed nodular deposits in both lobes of the liver. The involved small bowel segment was resected with primary anastomosis and liver was biopsied. Pathological examination showed multifocal deposits of well-differentiated carcinoids in the jejunum. The liver and mesenteric deposits were positive for metastatic carcinoid. Patient recovered well without any complications.