Duodenal carcinoid: a rare cause of melaena in a cirrhotic patient.
Small intestinal neuroendocrine tumours are relatively rare. Laboratory tests and diagnostic imaging are of help in diagnosis. Surgical resection is the standard approach. Metastatic disease has a poor prognosis. These are indolent tumours and hence role of chemotherapy is limited. Radionuclide and biological therapies are emerging. We report a 29-year-old man presenting with melaena and diagnosed as having a neuroendocrine tumour of the duodenum together with liver cirrhosis. Standard Whipple's procedure was done and he is doing well at follow-up.
Shelat
V G
VG
Department of Surgery, HPB and Liver Transplant Unit, National University Hospital, Singapore 119074.
Diddapur
R K
RK