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A rare occurrence of two synchronous carcinoid tumors in the same organ
Melanie Danielle Crispin1, Andrew Busuttil2, Chris Y. Lu3
1MBBS, Post Graduate Diploma of Surgical Anatomy Resident, Surgical Department, St Vincent's Hospital Fitzroy, Melbourne, Victoria, Australia.
2MBBS, Anatomical Pathology Registrar, Dorevitch Pathology, Melbourne, Victoria, Australia.
3MBBS, FRACS, General Surgeon, Werribee Mercy Hospital and Western Private Hospital, Melbourne, Victoria, Australia.

Article ID: 100021CRINTMC2016
doi:10.5348/crint-2016-21-CR-2

Address correspondence to:
Melanie Danielle Crispin
Post Graduate Diploma of Surgical Anatomy Resident
Surgical Department, St Vincent's Hospital Fitzroy
Melbourne, Victoria
Australia 3130

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How to cite this article:
Crispin MD, Busuttil A, Lu CY. A rare occurrence of two synchronous carcinoid tumors in the same organ. Case Rep Int 2016;5:5–8.


Abstract
Introduction: Carcinoid tumors are neuroendocrine cell tumors, most commonly found in the appendix and small bowel. Carcinoid tumors are often found together with another tumor of a different histological type. However, to find two synchronously occurring carcinoid tumors in one person is uncommon, and indeed to discover two synchronous carcinoid tumors in the one organ is extremely rare.
Case Report: This case report describes a 57-year-old male presented with symptoms of a small bowel obstruction. After failing conservative management, he proceeded to undergo a laparotomy. At the time of operation, two distinct lesions were found in his jejunum which were the cause of his bowel obstruction. These were excised, and found to be synchronous carcinoid tumors of the small bowel.
Conclusion: We describe a unique case of synchronous carcinoid tumors causing small bowel obstruction. Carcinoid tumors are a rare but important consideration when managing patients with small bowel obstructions. In addition, more research is required regarding the prognostic factors and treatment options for small bowel carcinoid tumors. The clinical and prognostic significance of synchronous small bowel carcinoid tumors also requires further study.

Keywords: Cancer, Carcinoid, Neuroendocrine, Synchronous


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Author Contributions
Melanie Crispin – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Andrew Busittil – Substantial contributions to conception and design, Acquisition of data, Revising the article critically for important intellectual content, Final approval of the version to be published
Chris Lu – Substantial contributions to conception and design, Acquisition of data, Revising the article critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Melanie Crispin et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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