Synchronous association of rectal adenocarcinoma and three ileal carcinoids: a case report.
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.
McHugh
Seamus M
SM
Department of Surgery, Our Lady of Lourdes Hospital, Drogheda, Ireland, UK. seamusmchugh@rcsi.ie
O'Donnell
Jill
J
Gillen
Peter
P
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