They occur more commonly as benign diseases but malignant ones can also be found. The authors report a case of gastric malignant multifocal carcinoid, diagnosed in a 63 year-old female patient. Diagnosis was confirmed at histologic analysis of the operating piece. The aim of this paper has been to review the frequency, prognosis and treatment of this neoplasm in the literature. TI - Colonic variceal bleeding in a patient with mesenteric venous obstruction due to an ileal carcinoid tumour.
Colonic varices are a recognized cause of rectal bleeding in portal hypertension.
We report here a patient who presented with melaena several months after resection of an ileal carcinoid tumour. Subsequent colonoscopy for continued episodes of rectal bleeding demonstrated extensive colonic varices. In the absence of portal hypertension, the varices appeared to be related to mesenteric venous obstruction. The management of bleeding colonic varices, in these circumstances, is discussed. The present study was conducted to evaluate the current status of rectal carcinoids from multiple systemic aspects, based on extensive information provided by 1271 cases cited in 465 international articles published since 1912.