PMC5238363_01
A/B Patients pictures of her normal abdominal profile and abdominal distention during an episode of obstruction.
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A female patient in her early thirties presented to the emergency room with symptoms of abdominal pain and distention (Fig. 1).
CT scan axial view with the intussusception (orange arrow).
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Her follow-up has been uneventful and she has had no further episodes of abdominal pain or distention over the past two years (Fig. 2).
CT scan coronal view with the intussusception (orange arrow) in the left upper quadrant.
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During one of her hospital admissions she had a computerised tomography (CT) scan which showed an intussusception in the left upper quadrant (Fig. 3).
Carcinoid tumour of the jejenum (blue arrow).
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After an extensive discussion with the patient and her family which included a second surgical opinion she agreed to undergo a diagnostic laparoscopy (Fig. 5, Fig. 6, ).
Exteriorisation of the tumour for resection (orange arrow).
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Intra-operatively a small bowel tumour was observed in the jejunum and this was resected upon conversion to an open laparotomy (Fig. 7, Fig. 8).
Octreotide scan post laparotomy showing normal uptake by the kidneys and liver with excretion through the bladder.
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The octreotide scan was normal (Fig. 9) and she was not offered any adjuvant chemotherapy.