Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2885620 | Annals of Vascular Surgery | 2016 | 5 Pages |
Abstract
Midgut carcinoid tumors (MCTs) are responsible for a range of mesenteric vascular complications and may rarely manifest with gastrointestinal (GI) hemorrhage. Endovascular approaches are particularly useful for this population, as surgery is often technically difficult. We report a case of life-threatening upper GI bleeding in a 50-year-old man previously diagnosed with an MCT in the small bowel mesentery. Computed tomography angiogram revealed an MCT obstructing the superior mesenteric vein (SMV) associated with multiple large collateral vessels. The patient underwent retrograde stenting of the obstructed SMV using a combined open and endovascular approach to successfully terminate the persistent GI bleeding.
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Authors
Arun Kelay, Luke Morgan-Rowe, Jason Constantinou, Massimo Malago, Krassi Ivancev,