A case of ileal carcinoid preoperatively diagnosed by a double balloon intestinal endoscopy

Abstract

The patient was a 73-year-old male who showed positive occult blood test of stool and was found to have an elevated lesion in the ileum 5 cm orally from Bauhin's valve by a colonoscopic study. For the further investigation of the lesion, a double balloon small intestinal endoscopic study was performed and a diagnosis of carcinoid tumor was made by a biopsy. An ileocolic resection with lymph nodes dissection was performed. The patient has been followed at our outpatient clinic but no signs of recurrence are seen up to now. Small intestinal carcinoid is one of the difficult pathologies to make preoperative diagnosis depending on the site of origin. We experienced this time a case of carcinoid diagnosed preoperatively by a double balloon small intestinal endoscopy and report it here with some review of the literatures.