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Mesenteric carcinoid tumor

Case contributed by Heba Abdelmonem
Diagnosis almost certain

Presentation

Vague abdominal pain.

Patient Data

Age: 70 years
Gender: Male
ct

CT demonstrates findings typical of a carcinoid tumor characterized by well-defined solid mesenteric mass associated with desmoplastic reaction and retraction of adjacent small bowel loops. A central small dot of calcification is noted as well. Incidental finding: hepatic hemangioma that fills in with contrast during the sequential phases of hepatic enhancement.

Case Discussion

The mass was proved pathologically to be a neuroendocrine tumor. The main differential includes sclerosing mesenteritis where the differentiation between the two entities is difficult unless a biopsy is performed.

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