title: Partial abdominal evisceration and intestinal autotransplantation to resect a mesenteric carcinoid tumor.
abstract: BACKGROUND
  Midgut carcinoids are neuroendocrine tumors that commonly metastasize to the intestinal mesentery, where they predispose to intestinal obstruction, ischemia and/or congestion. Because of their location, many mesenteric carcinoid tumors are deemed unresectable due to the risk of uncontrollable bleeding and prolonged intestinal ischemia.
  
  
  METHODS
  We report the case of a 60-year-old male with a mesenteric carcinoid tumor obstructing his superior mesenteric vein, resulting in intestinal varices and severe recurrent GI bleeds. While his tumor was thought to be unresectable by conventional techniques, it was successfully resected using intestinal autotransplantation to safely gain access to the tumor. This case is the first described application of this technique to carcinoid tumors.
  
  
  CONCLUSIONS
  Intestinal autotransplantation can be utilized to safely resect mesenteric carcinoid tumors from patients who were not previously thought to be surgical candidates. We review the literature concerning both carcinoid metastases to the intestinal mesentery and the use of intestinal autotransplantation to treat lesions involving the mesenteric root.
authors.affiliation: Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: William H
authors.initials: WH
authors.lastname: Kitchens
authors.forename: Nahel
authors.initials: N
authors.lastname: Elias
authors.forename: Lawrence S
authors.initials: LS
authors.lastname: Blaszkowsky
authors.forename: A Benedict
authors.initials: AB
authors.lastname: Cosimi
authors.forename: Martin
authors.initials: M
authors.lastname: Hertl
mesh_terms: D002276:Carcinoid Tumor / Q000473:pathology / Q000601:surgery*; D016145:Endoscopy, Digestive System; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000517:prevention & control; D007422:Intestines / Q000637:transplantation*; D008297:Male; D008643:Mesentery / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous