• Synchronous association of rectal adenocarcinoma and three ileal carcinoids: a case report.

      McHugh, Seamus M; O'Donnell, Jill; Gillen, Peter; Department of Surgery, Our Lady of Lourdes Hospital, Drogheda, Ireland, UK., seamusmchugh@rcsi.ie (2012-02-01)
      BACKGROUND: Synchronous midgut carcinoids with gastrointestinal adenocarcinoma are a rare but recognised association. CASE PRESENTATION: The patient, a 74 year old woman, underwent anterior resection for a low rectal adenocarcinoma. Intra-operatively 3 serosal deposits of tumour were noted in the distal ileum. Histology revealed these to be ileal carcinoids. CONCLUSION: During resection of a gastrointestinal tumour, a thorough inspection of the abdominal cavity should be undertaken to investigate the possibility of metastatic secondaries or a synchronous tumour as is reported in this case.