title: Multiple small-bowel carcinoids presenting with gastrointestinal hemorrhage: a case report.
abstract: Gastrointestinal hemorrhage from a small-bowel lesion can be a problem diagnostically and therapeutically. The authors present a case of multiple small-bowel carcinoids, which were the cause of multiple upper gastrointestinal hemorrhages over a 15-year period. Despite advances in endoscopy and diagnostic imaging, accurate localization and definitive diagnosis remain elusive in such cases. Optimal treatment depends on careful clinical evaluation and timely laparotomy.
authors.affiliation: Department of Surgery, University of Alberta, Edmonton.
authors.forename: C J
authors.initials: CJ
authors.lastname: McNamee
authors.forename: C
authors.initials: C
authors.lastname: Macarthur
authors.forename: L D
authors.initials: LD
authors.lastname: Jewell
authors.forename: N M
authors.initials: NM
authors.lastname: Kneteman
mesh_terms: D002276:Carcinoid Tumor / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged