05 September 2018 : Case report
Challenging differential diagnosis, Rare diseaseGregory Nicolas1BDEF*, Haydar Nasser2ABCDG, Juliano Haddad3ABD, Elie Zaghrini4CDFG, Karim Daher1ACDG, Amal Assef Nasser5CDE, Christian Saliba1DEG, Nour Gharios6AEG, Raja Wakim7ACDG
Am J Case Rep 2018; 19:1063-1067
BACKGROUND: Duodenal and ampullary carcinoids are very rare tumors accounting respectively for 2% and 0.03% of all carcinoid tumors. Clinical findings vary according to the location of the tumor within the periampullary region; with epigastric pain being the most common presenting symptom in duodenal carcinoids and jaundice the most common clinical finding in ampullary carcinoids. Treatment options include pancreaticoduodenectomy, local excision, and endoscopic excision.
CASE REPORT: In this case report, we present a 60-year-old male who presented with a one-week history of intractable epigastric pain. He was diagnosed with duodenal periampullary carcinoid tumor and treated with local excision.
CONCLUSIONS: Although duodenal and ampullary carcinoid tumors may have different clinical presentations, as well as histochemistry characteristics and metastatic potential, they appear to benefit from the same surgical treatment.
Keywords: Carcinoid Tumor, general surgery
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