A case of successful treatment of a neuroendocrine tumor of the small intestine complicated by partial intestinal obstruction

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Abstract

The incidence of neoplasms of the small intestine does not exceed 3% in the structure of all tumors of the gastrointestinal tract. Among them, the frequency of neuroendocrine tumors is about 30%. Due to the absence of pathognomonic symptoms, such tumors are usually detected at the stage of surgical complications such as intestinal obstruction or intestinal necrosis. In such a situation, the oncological process is already either locally widespread or generalized. Therefore, timely diagnosis of tumors should be based not only on the complaints and anamnesis, allowing to suspect the development of complications, but also on the use of modern imaging methods.

A clinical case demonstrating the difficulties of timely diagnosis of a neuroendocrine tumor of the small intestine is presented.

About the authors

Alexey A. Kurkov

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: dok.kurkov@gmail.com
ORCID iD: 0000-0002-2128-8651
SPIN-code: 6396-4386

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Badri V. Sigua

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
ORCID iD: 0000-0002-4556-4913
SPIN-code: 5571-8893

MD, Dr. Sci. (Med.), Professor

Russian Federation, Saint Petersburg

Elguja L. Lataria

North-Western State Medical University named after I.I. Mechnikov

Email: Elguja.Lataria@szgmu.ru
ORCID iD: 0000-0002-9569-8485
SPIN-code: 7376-9672

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Saint Petersburg

Dmitry V. Gurzhiy

North-Western State Medical University named after I.I. Mechnikov

Email: gurzhiydv@ro.ru
ORCID iD: 0000-0002-4005-0403
SPIN-code: 7344-3941

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Saint Petersburg

Victoria E. Kvarku

North-Western State Medical University named after I.I. Mechnikov

Email: viktoriya.kvarku@szgmu.ru
Russian Federation, Saint Petersburg

Anna V. Belyaeva

North-Western State Medical University named after I.I. Mechnikov

Email: Anna.Belyaeva@szgmu.ru
ORCID iD: 0000-0002-6299-2856
SPIN-code: 8205-6112

MD, Cand. Sci. (Med.)

Russian Federation, Saint Petersburg

Sergey A. Vinnichuk

North-Western State Medical University named after I.I. Mechnikov

Email: Sergei.Vinnichuk@szgmu.ru
ORCID iD: 0000-0002-9590-6678
SPIN-code: 6448-9110

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Saint Petersburg

Abdul R. Abdulov

North-Western State Medical University named after I.I. Mechnikov

Email: Abdulov_97@list.ru
ORCID iD: 0000-0001-7578-8179
Russian Federation, Saint Petersburg

Viacheslav P. Zemlianoi

North-Western State Medical University named after I.I. Mechnikov

Email: zeml.spb@mail.ru
ORCID iD: 0000-0003-2329-0023

MD, Dr. Sci. (Med.), Professor, Honored Doctor of the Russian Federation

Russian Federation, Saint Petersburg

References

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  7. Ovnatanyan KT, Tarnopol’skii AM. Opukholi tonkoi kishki i ee bryzheiki. Kiev; 1966. 175 p. (In Russ.)
  8. Volostnikov EV, Murav’ev AV, Brusnev LA. Tumors of the small intestine. Koloproktologiya. 2019;18(S3(69)):60. (In Russ.)

Supplementary files

Supplementary Files
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2. Fig. 1. The ultrasound picture: a stenosing tumor of the small intestine

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3. Fig. 2. The intraoperative picture: a stenosing tumor of the small intestine

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4. Fig. 3. The microscopic picture of the tumor of the the small intestine (hematoxylin-eosin, zoom ×100)

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5. Fig. 4. The microscopic picture of invasion of the small intestine tumor into the muscle layer (hematoxylin-eosin, zoom ×100)

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Copyright (c) 2022 Kurkov A.A., Sigua B.V., Lataria E.L., Gurzhiy D.V., Kvarku V.E., Belyaeva A.V., Vinnichuk S.A., Abdulov A.R., Zemlianoi V.P.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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