title: Synchronous association of rectal adenocarcinoma and three ileal carcinoids: a case report.
abstract: BACKGROUND
  Synchronous midgut carcinoids with gastrointestinal adenocarcinoma are a rare but recognised association.
  
  
  METHODS
  The patient, a 74 year old woman, underwent anterior resection for a low rectal adenocarcinoma. Intra-operatively 3 serosal deposits of tumour were noted in the distal ileum. Histology revealed these to be ileal carcinoids.
  
  
  CONCLUSIONS
  During resection of a gastrointestinal tumour, a thorough inspection of the abdominal cavity should be undertaken to investigate the possibility of metastatic secondaries or a synchronous tumour as is reported in this case.
authors.affiliation: Department of Surgery, Our Lady of Lourdes Hospital, Drogheda, Ireland, UK. seamusmchugh@rcsi.ie
authors.forename: Seamus M
authors.initials: SM
authors.lastname: McHugh
authors.forename: Jill
authors.initials: J
authors.lastname: O'Donnell
authors.forename: Peter
authors.initials: P
authors.lastname: Gillen
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery; D000368:Aged; D002276:Carcinoid Tumor / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007078:Ileal Neoplasms / Q000473:pathology* / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000473:pathology* / Q000601:surgery; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed