NDLI: Small bowel volvulus with intussusception: an unusual revelation of neuroendocrine tumor.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lachhab, Imad Traoré, Boubacar Zan Saoud, Omar Khedid, Yahia Zain Al Abidine Zouaidia, Fouad Echarrab, Mahjoub Chkoff, Mohamed Rachid
Description	Country affiliation: Morocco Author Affiliation: Lachhab I ( Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco.); Traoré BZ ( Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco.); Saoud O ( Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco.); Khedid YZ ( Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco.); Zouaidia F ( Department of Pathology, IBN Sina University Hospital, Rabat, Morocco.); Echarrab M ( Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco.); Chkoff MR ( Departement of Visceral Surgical Emergency, IBN Sina University Hospital, Rabat, Morocco.)
Abstract	The primary malignant tumors of the small bowel are rare, representing 1 to 1.4% of all gastrointestinal tumors. We report a case of a 33 year-old women, admitted to our emergency department of visceral surgery for acute abdomen. The clinical examination revealed diffuse abdominal distension, defenseless, the hernia orifices were free and the rectal examination was normal. The biological test showed no hydro electrolytic disorders with normal hemoglobin and normal renal function. The abdominal CT-Scan showed signs of bowel obstruction due to a volvulus with intussusception without ischemia. The patient was operated urgently; the exploration has revealed a small bowel obstruction in the ileum with volvulus, an intussusceptum associated with a retractile mesenteritis, and the hepatic exploration found no metastases. The patient underwent a bowel resection taking away the intussusceptum with the infiltrated mesentery. The postoperative course was uneventful. The pathological result has proved a well-differentiated neuroendocrine tumor with five free nodes. Through this observation, we aim to highlight that an obstruction of small bowel with volvulus and intussusception could be exceptionally due to a neuroendocrine tumor, this complication has enabled a relatively early diagnosis in the absence of metastases and a 6-month follow-up without recurrence is a demonstration.
File Format	HTM / HTML
e-ISSN	19378688
DOI	10.11604/pamj.2015.22.6.7132
Journal	Pan African Medical Journal
Volume Number	22
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2015-01-01
Publisher Place	Uganda
Access Restriction	Open
Subject Keyword	Discipline Medicine Intestinal Obstruction Etiology Intestinal Volvulus Intussusception Neuroendocrine Tumors Diagnosis Surgery Intestine, Small Pathology Complications Tomography, X-ray Computed
Content Type	Text
Resource Type	Article Case study

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