Palliative bypass for small bowel carcinoid with mesenteric mass and vascular encasement

2013 ◽  
Vol 84 (10) ◽  
pp. 793-794 ◽  
Author(s):  
Anand D. Nathan ◽  
Manju D. Chandrasegaram ◽  
Eu L. Neo ◽  
Paul M. Dolan ◽  
Chuan P. Tan ◽  
...  
Keyword(s):  
Small Bowel ◽  
Mesenteric Mass

Rare cystic mesenteric mass of the small bowel: mesenteric lymphangioma

2020 ◽  
Author(s):  
Daniel Ong ◽  
Benjamin Cribb ◽  
Matthew Marshall‐Webb ◽  
Jonathan Yong
Keyword(s):  
Small Bowel ◽  
Mesenteric Lymphangioma ◽  
Mesenteric Mass

scholarly journals A RARE CASE OF MESENTERIC GASTROINTESTINAL STROMAL TUMOUR (GIST) PRESENTING AS MESENTERIC MASS.

2020 ◽  
pp. 1-2
Author(s):  
Bansil V. Javia ◽  
Hitendra K. Desai ◽  
Neel B. Patel ◽  
Purvesh V. Doshi
Keyword(s):  
Gastrointestinal Tract ◽  
Small Bowel ◽  
Rare Case ◽  
Gastrointestinal Stromal Tumour ◽  
Good Survival ◽  
Incomplete Resection ◽  
Gastrointestinal Stromal Tumours ◽  
Rare Tumours ◽  
High Incidence ◽  
Mesenteric Mass

Gastrointestinal stromal tumours (GIST) are rare tumours arising from mesenchyme of gastrointestinal tract and overexpress C-kit protein. Mainly seen in stomach and small bowel. Mesenteric GIST are rarely reported as they constitute less than 1% of total GIST. We hereby report such a rare case of GIST arising from mesentery of small bowel and presenting as intra-abdominal mesenteric mass. Good surgical clearance ensures good survival whereas incomplete resection results in a high incidence of recurrences with distant metastasis.

scholarly journals Principles of Surgical Management of Small Intestinal NET

Cancers ◽  
2021 ◽  
Vol 13 (21) ◽  
pp. 5473
Author(s):  
Arnaud Pasquer ◽  
Thomas Walter ◽  
Laurent Milot ◽  
Valérie Hervieu ◽  
Gilles Poncet
Keyword(s):  
Small Bowel ◽  
Surgical Management ◽  
Abdominal Cavity ◽  
Laparoscopic Approach ◽  
Ileocecal Valve ◽  
Quality Criteria ◽  
Extensive Lymphadenectomy ◽  
Surgical History ◽  
Mesenteric Mass ◽  
Small Intestinal

Introduction: Small-intestinal neuroendocrine tumors (siNETs) account for 25% of gastroenteropancreatic NETs. Multiple siNETs appear to develop in a limited segment of the small bowel (SB), 89% of them being located in the ileum, most often within 100 cm of the ileocecal valve (ICV). According to the European Neuroendocrine Tumor Society (ENETS) and the American Joint Committee on Cancer (AJCC), all localized siNETs should be considered for radical surgical resection with adequate lymphadenectomy irrespective of the absence of lymphadenopathy or mesenteric involvement. Surgical management of siNETs: The preoperative workout should include a precise evaluation of past medical and surgical history, focusing on the symptoms of carcinoid syndrome (flush, diarrhea, and cardiac failure). Morphological evaluation should include a CT scan including a thin-slice arterial CT, a PET/CT with 68 Ga, and a hepatic MRI in cases of suspected metastasis. Levels of 24 h urinary 5-hydroxyindoleacetic acid are needed. Regarding surgery, the limiting component is the number of free jejunal branches allowing a resection without risk of short small bowel syndrome. The laparoscopic approach has been poorly studied, and open laparotomy remains the gold standard to explore the abdominal cavity and entirely palpate the small bowel through bidigital palpation and compression. An extensive lymphadenectomy is required. A prophylactic cholecystectomy should be performed. In case of emergency surgery, current recommendations are not definitive. However, there is expert agreement that it is not reasonable to initiate resection of the mesenteric mass without comprehensive workup and mapping. Conclusion: The surgery of siNETs is in constant evolution. The challenge lies in the ability to propose a resection without imposing short small bowel syndrome on the patients. The oncological benefits supported in the literature led to recent changes in the recommendations of academic societies. The next steps remain the dissemination of reproducible quality criteria to perform these procedures.

Response to Re: Palliative bypass for small bowel carcinoid with mesenteric mass and vascular encasement

2015 ◽  
Vol 85 (3) ◽  
pp. 197-198
Author(s):  
Manju D. Chandrasegaram ◽  
Eu L. Neo ◽  
Anand D. Nathan ◽  
Paul M. Dolan ◽  
Chuan P. Tan ◽  
...  
Keyword(s):  
Small Bowel ◽  
Mesenteric Mass

Re: Palliative bypass for small bowel carcinoid with mesenteric mass and vascular encasement

2015 ◽  
Vol 85 (3) ◽  
pp. 197-197 ◽  
Author(s):  
Benjamin N. J. Thomson ◽  
Michael S. Hofman ◽  
Rodney J. Hicks
Keyword(s):  
Small Bowel ◽  
Mesenteric Mass

scholarly journals Small Bowel Mucosal Involvement and Mesenteric Mass Formation in a Young Female with Type 3 Gaucher Disease. A Case Report

2018 ◽  
Vol 27 (4) ◽  
pp. 459-463
Author(s):  
Anthony J Emanuel ◽  
Nathan Holman ◽  
Susan E Presnell ◽  
Cynthia T Welsh ◽  
Shashidhar Pai ◽  
...  
Keyword(s):  
Small Bowel ◽  
Gaucher Disease ◽  
Clinical Symptoms ◽  
Neurological Involvement ◽  
Lysosomal Storage ◽  
Lower Gastrointestinal Hemorrhage ◽  
Mucosal Involvement ◽  
Mesenteric Mass ◽  
Type 3 ◽  
Mass Formation

Gaucher Disease arises due to a deficiency in the enzyme glucocerebrosidase and is the most common lysosomal storage disease. This enzyme deficiency leads to the accumulation of glucocerebroside within macrophages (Gaucher cells) and the resulting infiltration of these cells into organs can cause clinical symptoms. There are three types of Gaucher Disease that differ based on the clinical course and the presence or absence of neurological involvement, but classically, Gaucher cell infiltrates impact a patient’s spleen, liver, bone marrow and cortex. In this report, we present a case of Type 3 Gaucher Disease involving small bowel mucosa with a mesenteric mass formation. These unusual sites of Gaucher cell deposition likely led directly to uncommonly seen clinical symptoms, including small bowel obstruction and lower gastrointestinal hemorrhage

scholarly journals Primary extraskeletal osteosarcoma of small bowel mesentery presenting with acute bowel obstruction

2021 ◽  
Vol 15 (12) ◽  
pp. 10-19
Author(s):  
Gabriel Yihan Tong ◽  
Kheng Song Leow ◽  
Sivaraj Gunasekaran ◽  
Susan Swee-Shan Hue ◽  
Sivasubramanian Srinivasan
Keyword(s):  
Small Bowel ◽  
Malignant Neoplasm ◽  
Rare Condition ◽  
Careful Analysis ◽  
Final Diagnosis ◽  
Histopathological Analysis ◽  
Small Bowel Mesentery ◽  
Extraskeletal Osteosarcoma ◽  
Mesenteric Mass ◽  
Osteoid Formation

Extraskeletal osteosarcoma of the small bowel mesentery is an exceedingly rare condition. It is an aggressive malignant neoplasm of mesenchymal origin characterized by osteoid formation. Final diagnosis is often made by histopathological analysis. However, we believe that prospective radiological diagnosis may be possible through careful analysis of densities (ossification) within the mesenteric mass. To the best of our knowledge, there is no current literature describing the radiological approach to making a prospective diagnosis of this condition. We present the 12th case of extraskeletal osteosarcoma worldwide and describe a radiological approach that is potentially useful in making a prospective diagnosis.

Problems in Diseases of the Small Bowel

1950 ◽  
Vol 16 (2) ◽  
pp. 425-439
Author(s):  
M.A. Spellberg ◽  
Edward L. Jackson
Keyword(s):  
Small Bowel
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