A Patient with Multiple Gastrointestinal Carcinoid Tumours Presenting with Jejunal Intussusception

Table 1

Summary of previously reported cases of jejunal intussusception secondary to carcinoid tumours [6, 7].

Author	Case 1	Case 2
	Umashankkar Kannan et al.	Jennifer Matulich et al.
Year reported	2015	2014
Presenting history	Periumbilical abdominal pain for 1 day	Sudden onset diffuse abdominal pain
Past history	Nil to note	Chromic anemia, small bowel resection for ischaemia, volvulus secondary to malrotation, gastric carcinoid tumour (resected endoscopically), and tubular adenoma of colon (polypectomy done)
Examination	Nondistended, soft abdomen with tenderness in umbilical region	Generalized abdominal tenderness
Imaging studies	CT of abdomen showing intussusception in jejunum, without any obvious intra-abdominal masses	CT abdomen showed 3 target signs
Biochemistry	Within normal limits	Within normal limits
Treatment	Exploratory laparotomy done, revealing intussusception in jejunal segment with mesenteric lymphadenopathy and multiple liver nodules	Exploratory laparotomy which revealed an intussusception involving the jejunal segment
Surgery	Resection of involved bowel segment with 5 cm margins of the adjacent unaffected intestine, with subsequent reconstitution of the gastrointestinal tract	Resection of involved jejunal segment followed by jejunojejunal anastomosis
Outcome and follow-up	Recovered well with no postoperative complications	Recovered well with no postoperative complications