Mid-Gut Carcinoid Tumour Presenting as Suspected Orbital Metastasis
Journal Title: Sultan Qaboos University Medical Journal - Year 2019, Vol 19, Issue 3
Abstract
Although metastasis of carcinoid tumours of the intestine is rare, it has been reported in several organs, mainly in the lungs, the liver and less commonly in the orbits. We report a 50-year-old male patient who presented at Hamad General Hospital, Doha, Qatar, in 2016 with central abdominal pain, distention, nausea and vomiting for the previous four days. The patient had unilateral right- sided exophthalmos for two years prior to presentation. Following an abdominal computed tomography (CT) scan and an ultrasound guided biopsy, the patient was diagnosed with extensive multi-focal metastatic carcinoid tumour of the small bowel and mesentery; histopathology confirmed the diagnosis. Subsequently, the patient underwent a laparotomy and small bowel resection and was administered somatostatin therapy. One week postoperatively, the patient developed an acute increase in his right eye exophthalmos. CT, magnetic resonance imaging and scintigraphy scans revealed an orbital metastatic lesion, which probably originated from the previously diagnosed carcinoid tumour. The orbital metastasis was treated with somatostatin therapy and the patient was lost to follow-up when he left the country.
Authors and Affiliations
Ayman A. Hafiz, Syed M. Ali, Salwa M. Sidahmed, Asma Al-Hassan, Nahla M. M. El-Naggar
Keywords
Related Articles
- EP ID EP168079
- DOI http://dx.doi.org/10.18295/squmj.2019.19.03.013
- Views 271
- Downloads 0
Re: Plagiarism and Other Types of Publication Misconduct
Mucormycosis of the Jaw after Dental Extractions: Two Case Reports
Mucormycosis is a rare opportunistic fungal infection, which is mainly reported to occur in patients with immunocompromised conditions such as uncontrolled diabetes mellitus and leukaemias. In this paper, two cases of mu...
Re: Improving Road Safety through Deterrence-Based Initiatives
Cardiovascular Complications of Acute Amphetamine Abuse Cross-sectional study
Objectives: Tis study aimed to evaluate cardiovascular complications among patients who abuse amphetamines. Methods: Tis cross-sectional study took place between April 2014 and April 2015 among 3,870 patients referred...
A Combination of Drug-Eluting Stents and Bioresorbable Vascular Scaffolds in the Treatment of Multivessel Coronary Artery Disease
Optimal management of multivessel coronary artery disease can be complex. We report a 67-year-old male patient who was admitted to the Padua University Hospital, Padua, Italy, in 2014 with a non-ST-elevation myocardial...