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Gastrointestinal Hemorrhage due to Carcinoid Tumors of the Small Intestine
David J. Kreis, Jr, MD;
Jorge J. Guerra, Jr, MD;
Marcia Saltz, MD;
Roberto Santiesteban, MD;
Patricia Byers, MD
JAMA. 1986;255(2):234-236.
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MALIGNANT tumors of the small intestine account for about 2% of all gastrointestinal malignancies.1 The majority of these lesions are adenocarcinomas, followed by carcinoid tumors, lymphomas, and sarcomas. The most common site for carcinoid tumors is the appendix, followed by the jejunoileum. The most common clinical manifestation of jejunoileal carcinoids is small-bowel obstruction.1,2 Gastrointestinal bleeding from jejunoileal carcinoids is rare but is surgically correctable. It is often difficult to locate the source of small intestinal hemorrhage prior to exploratory laparotomy. We recently treated a patient with multiple jejunoileal carcinoids associated with massive gastrointestinal hemorrhage. This case is presented along with a complete review of the pertinent literature to update the workup and treatment of bleeding small-bowel tumors.
Report of a Case
A 53-year-old man was admitted to the University of Miami/Jackson Memorial Medical Center on June 12, 1984, with near syncope. His medical history included chronic iron deficiency anemia
. . . [Full Text PDF of this Article]
Author Affiliations
From the Departments of Surgery (Drs Kreis, Santiesteban, and Byers), Radiology (Dr Guerra), and Pathology (Dr Saltz), University of Miami/ Jackson Memorial Medical Center.
Footnotes
Reprint requests to the Department of Surgery, University of Miami/Jackson Memorial Medical Center, 1611 NW 12th Ave, Miami, FL 33101 (Dr Kreis).
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