Diagnostic difficulties of small intestinal neuroendocrine tumors: clinical case

The objective of the study was to demonstrate difficulties diagnosing neuroendocrine tumor (NET) small intestine at example a concrete clinical case. In case presented, manifestations disease were nonspecific and examination began from low-informative method multispiral computed tomography (MSCT) without bolus contrast that reason wrong diagnosis for 7 months. detection swollen lymph node in mesentery interpreted incorrectly; additionally, only endoscopic investigation stomach large used. By means MSCT-angiography we succeeded diagnose not conglomerate mesentery, but reveal sized 915 cm ileac wall. Laparoscopy with biopsy after its morphological permitted verify before surgery.
 To reduce period diagnostics intestinal NET, general practitioners should be informed on specific features rational diagnostic methods. showed efficiency small-sized laparoscopy will permit surgery.