title: [Carcinoid syndrome. Recurrent upper abdominal pain, diarrhea and flush in a 15-year-old girl].
abstract: BACKGROUND
  A carcinoid syndrome is typically diagnosed in elderly patients, median age at diagnosis was 60 years in two large series. We describe a patient with the carcinoid syndrome at the young age of 15 years.
  
  
  METHODS
  The 15-year-old patient's history and findings on physical examination, clinical chemistry, abdominal ultrasound and liver biopsy were typical for a carcinoid with hepatic metastases. The patient's age, however, was very unusual. Because of her youth, we discussed a potentially curative treatment with resection of the primary tumor in the upper jejunum followed by liver transplantation at a second operation. This concept had to be abandoned, when the first operation revealed a tumor in the mesenterium, close to the primary, 5 cm in diameter and around the superior mesenteric artery. This tumor could not be resected. Liver transplantation therefore did not offer this young patient a chance for cure.
authors.affiliation: Abteilung für Gastroenterologie, Universitätsklinik Essen.
authors.forename: M
authors.initials: M
authors.lastname: Mahl
authors.forename: J
authors.initials: J
authors.lastname: Schönfeld
authors.forename: R
authors.initials: R
authors.lastname: Lange
authors.forename: E G
authors.initials: EG
authors.lastname: Eising
authors.forename: E M
authors.initials: EM
authors.lastname: Kind
authors.forename: K
authors.initials: K
authors.lastname: Neumann
authors.forename: H
authors.initials: H
authors.lastname: Goebell
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000293:Adolescent; D003967:Diarrhea / Q000209:etiology*; D005260:Female; D006801:Humans; D007580:Jejunal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008303:Malignant Carcinoid Syndrome / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Karzinoidsyndrom. Rezidivierende Oberbauchbeschwerden, Durchfall und Flush bei einer 15jährigen Patientin.