We report the case of a 77-year-old man who came to the emergency department for pain, abdominal distension, vomiting and asthenia for months.
Abdominal pain: diffuse pain without peritonitis.
Analytical without significant alterations.
Abdominal computed tomography (CT): a mesenteric nodule with linear hyperdense images compatible with peineal sign and dilatation of proximal loops without lesions in the intestinal wall.
With the diagnosis of intestinal obstruction secondary to a neuroendocrine tumor (NET) of the ileum, the patient is operated.
Surgical site: tumor in month of distal ileum compatible with CT image and tumor in adjacent ileum.
Oncological resection of the ileal segment was performed.
Anatomopathological study: 3 cm ileum ENT diagnosed as mesentery.
Lymphatic stricture, micrometastasis in 2/7 lymph nodes.
NMT: T3 N1 Mx, stage IIIB (AJCC/ENETS).
Histological subtype (WHO 2010): well differentiated G1 (Ki-67: 1%).
Immunohistochemistry: positive for chromogranin A (CgA) and synaptophysin.
Postoperative period was uneventful.
The postoperative scintigraphy 111l-Octretino showed no pathological uptake.
The patient has not presented new episodes of intestinal obstruction or recurrence two years after surgery.
