Small-bowel carcinoid presenting in association with a phytobezoar.
An unusual case of a recurrent, postoperative, small-bowel obstruction is presented. The obstruction was due to a phytobezoar proximal to the site of a primary carcinoid of the small bowel. The radiologic findings of a mobile, intraluminal filling defect and a more distal, fixed mural mass are reviewed. The cause of the recurrent obstruction was likely a "ball-valve" effect of the phytobezoar at the site of stenosis caused by the carcinoid. This case emphasizes the value of small-bowel imaging in repeated small-bowel obstruction.
Lorimer
J W
JW
Department of Surgery, Ottawa General Hospital, Ont.
Allen
M W
MW
Tao
H
H
Burns
B
B
D001630:Bezoars / Q000150:complications* / Q000000981:diagnostic imaging; D002276:Carcinoid Tumor / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D007421:Intestine, Small / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence