Jejunized colon: a rare complication of carcinoid tumor.
A 23-yr-old female with a history of dyspnea, palpitation, productive cough, occasional hemoptysis, intermittent diarrhea, and abdominal pain was found to have metastatic carcinoid tumor and a "jejunized colon." Carcinoid tumors are relatively rare neoplasms found throughout the gastrointestinal tract, the ovaries, and the lungs. Barium enema showed a normal rectum and a pattern identical to jejunum in the proximal colon. Endoscopic biopsies confirmed the presence of small intestinal mucosa in the colon. Foreshortening of the colon was probably due to a desmoplastic reaction secondary to the carcinoid tumor. Histologic confirmation of these findings has never been described before.
Farahvash
M J
MJ
Department of Internal Medicine, St. Louis University School of Medicine.
Janney
C G
CG
Salimi
Z
Z
Majdi
G
G
Bacon
B R
BR
D000328:Adult; D001706:Biopsy; D002276:Carcinoid Tumor / Q000150:complications* / Q000473:pathology / Q000556:secondary; D003106:Colon / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology*; D007583:Jejunum / Q000000981:diagnostic imaging / Q000473:pathology*; D008679:Metaplasia / Q000473:pathology; D011859:Radiography