Endoscopy 2024; 56(S 02): S292
DOI: 10.1055/s-0044-1783389
Abstracts | ESGE Days 2024
ePoster

Obscure Gastrointestinal Bleeding Due To A Neuroendocrine Tumor. About a case

C. Iglesias Sobrino
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
,
L. Arranz Hernández
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
,
L. Bermejo Navazo
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
,
S. Correa Torres
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
,
E. Suarez Zambrano
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
,
S. Acosta Lopez
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
,
M. San Juan Acosta
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
,
S. Morales González
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
,
P. Borque Barrera
1   Our Lady of Candelaria University Hospital, Santa Cruz de Tenerife, Spain
› Author Affiliations
 
 

Abstract Text We present a case of a 78-year-old male, from Portugal, with a history of laparoscopic sigmoidectomy for colorectal neoplasm in 2018, as well as, focal epilepsy, colonic diverticulosis, hepatic hemangioma, ischemic heart disease with by-pass and a biological aortic prothesis. We met the patient in 2018 with a first episode of obscure gastrointestinal bleeding. A complete endoscopic study was conducted at that time, revealing multiple erosions in the distal jejunum and proximal ileum as the cause of the bleeding. In 2023, he had another episode of melena. It was decided to repeat the capsule endoscopy that suggested a neoplastic origin of the bleeding, and a decision was made for surgical resection. Ultimately, the histological study confirmed the diagnosis of well-differentiated neuroendocrine tumor with infiltration of mesenteric fat (pT3Nx). [1] [2] [3] [4] [5] [6] [7] [8]


Conflicts of interest

Authors do not have any conflict of interest to disclose.

  • References

  • 1 Yoon JY, Kumta NA, Kim MK.. The Role of Endoscopy in Small Bowel Neuroendocrine Tumors. Clin Endosc 2021; 54 (06) 818-824 Epub 2021 Apr 1 PMID: 33794563; PMCID: PMC8652151
  • 2 Korean Gut Image Study Group. Cheung DY, Kim JS, Shim KN, Choi MG. The Usefulness of Capsule Endoscopy for Small Bowel Tumors. Clin Endosc 2016; 49 (01) 21-5 Epub 2016 Jan 28 PMID: 26855919; PMCID: PMC4743724.
  • 3 Furnari M, Buda A, Delconte G, Citterio D, Voiosu T, Ballardini G, Cavallaro F, Savarino E, Mazzaferro V, Meroni E.. The role of wireless capsule endoscopy (WCE) in the detection of occult primary neuroendocrine tumors. J Gastrointestin Liver Dis 2017; 26 (02) 151-156 PMID: 28617885
  • 4 Gaiani F, de'Angelis N, Minelli R, Kayali S, Carra MC, de'Angelis GL.. Pediatric gastroenteropancreatic neuroendocrine tumor: A case report and review of the literature. Medicine (Baltimore) 2019; 98 (37) e17154 PMID: 31517859; PMCID: PMC6750332
  • 5 Juanmartiñena Fernández JF, Fernández-Urién I, Saldaña Dueñas C, Elosua González A, Borda Martín A, Vila Costas JJ.. Detección de lesiones fuera del intestino delgado con cápsula endoscópica en pacientes con hemorragia digestiva oculta [Non-small bowel lesions detected with capsule endoscopy in patients with obscure gastrointestinal bleeding]. An Sist Sanit Navar 2016; Mayo-Agosto 39 (2): 315–8. Spanish. doi:10.23938/ASSN.0261.PMID: 27599960
  • 6 Sanhueza Bravo E, Ibáñez P, Araya R, Delgado I, Quezada S, Jadue L, Navarrete C.. Utilidad de la cápsula endoscópica como método diagnóstico en el estudio de patología de intestino delgado [Experience with capsule endoscopy diagnostic tool for the small intestine]. Rev Med Chil 2010; 138 (03) 303-8 Spanish. Epub 2010 May 19 PMID: 20556332
  • 7 González-Suárez B, Galter S, Balanzó J.. Cápsula endoscópica: fundamentos y utilidad clínica [Wireless capsule endoscopy: basic principles and clinical utility]. Cir Esp 2007; 81 (06) 299-306 Spanish. doi:10.1016/s0009-739x(07)71328-3.PMID: 17553401
  • 8 García-Compeán D.. Cápsula endoscópica [Endoscopic capsule]. Rev Gastroenterol Mex 2013; 78 (Suppl. 01) 54-6 Spanish. doi:10.1016/j.rgmx .2013.06.041.PMID: 24041059

Publication History

Article published online:
15 April 2024

© 2024. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

  • References

  • 1 Yoon JY, Kumta NA, Kim MK.. The Role of Endoscopy in Small Bowel Neuroendocrine Tumors. Clin Endosc 2021; 54 (06) 818-824 Epub 2021 Apr 1 PMID: 33794563; PMCID: PMC8652151
  • 2 Korean Gut Image Study Group. Cheung DY, Kim JS, Shim KN, Choi MG. The Usefulness of Capsule Endoscopy for Small Bowel Tumors. Clin Endosc 2016; 49 (01) 21-5 Epub 2016 Jan 28 PMID: 26855919; PMCID: PMC4743724.
  • 3 Furnari M, Buda A, Delconte G, Citterio D, Voiosu T, Ballardini G, Cavallaro F, Savarino E, Mazzaferro V, Meroni E.. The role of wireless capsule endoscopy (WCE) in the detection of occult primary neuroendocrine tumors. J Gastrointestin Liver Dis 2017; 26 (02) 151-156 PMID: 28617885
  • 4 Gaiani F, de'Angelis N, Minelli R, Kayali S, Carra MC, de'Angelis GL.. Pediatric gastroenteropancreatic neuroendocrine tumor: A case report and review of the literature. Medicine (Baltimore) 2019; 98 (37) e17154 PMID: 31517859; PMCID: PMC6750332
  • 5 Juanmartiñena Fernández JF, Fernández-Urién I, Saldaña Dueñas C, Elosua González A, Borda Martín A, Vila Costas JJ.. Detección de lesiones fuera del intestino delgado con cápsula endoscópica en pacientes con hemorragia digestiva oculta [Non-small bowel lesions detected with capsule endoscopy in patients with obscure gastrointestinal bleeding]. An Sist Sanit Navar 2016; Mayo-Agosto 39 (2): 315–8. Spanish. doi:10.23938/ASSN.0261.PMID: 27599960
  • 6 Sanhueza Bravo E, Ibáñez P, Araya R, Delgado I, Quezada S, Jadue L, Navarrete C.. Utilidad de la cápsula endoscópica como método diagnóstico en el estudio de patología de intestino delgado [Experience with capsule endoscopy diagnostic tool for the small intestine]. Rev Med Chil 2010; 138 (03) 303-8 Spanish. Epub 2010 May 19 PMID: 20556332
  • 7 González-Suárez B, Galter S, Balanzó J.. Cápsula endoscópica: fundamentos y utilidad clínica [Wireless capsule endoscopy: basic principles and clinical utility]. Cir Esp 2007; 81 (06) 299-306 Spanish. doi:10.1016/s0009-739x(07)71328-3.PMID: 17553401
  • 8 García-Compeán D.. Cápsula endoscópica [Endoscopic capsule]. Rev Gastroenterol Mex 2013; 78 (Suppl. 01) 54-6 Spanish. doi:10.1016/j.rgmx .2013.06.041.PMID: 24041059