Journal Article

A cause to consider for chronic unresolving diarrhea

Talal Hilal

in Gastroenterology Report

Volume 4, issue 2, pages 162-164
Published in print May 2016 |
Published online October 2014 | e-ISSN: 2052-0034 | DOI: https://dx.doi.org/10.1093/gastro/gou071

Show Summary Details

Preview

A 36-year-old male who carried a diagnosis of irritable bowel syndrome presented with chronic watery diarrhea and was found to have hepatomegaly on physical exam. A computed tomography (CT) scan of the abdomen revealed hepatomegaly with lesions suspicious for metastatic disease. A colonoscopy revealed a polypoid lesion in the terminal ileum, which was biopsied, revealing a neuroendocrine tumor (NET). He was treated with palliative octreotide and chemoembolization of liver metastases until disease progression. The case highlights the importance of considering functional NETs, especially carcinoid syndrome, in patients with chronic unresolving diarrhea, since early diagnosis allows for further treatment options that can prolong survival.

Keywords: chronic diarrhea; carcinoid syndrome; neuroendocrine tumor; hepatomegaly

Journal Article.  1351 words.  Illustrated.

Subjects: Gastroenterology

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content. subscribe or login to access all content.