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Contributions

Carcinoid tumors of the terminal ileum simulating Crohn’s disease

Seid Hossein Mir-Madjlessi, MD, FACP, Eugene I. Winkelman, MD, FACP and Gary A. Davis, DO
Cleveland Clinic Journal of Medicine May 1988, 55 (3) 257-262;
Seid Hossein Mir-Madjlessi
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Eugene I. Winkelman
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Gary A. Davis
Departments of Gastroenterology and Radiology, The Cleveland Clinic Foundation
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ABSTRACT

Four patients had carcinoid tumors of the terminal ileum but were diagnosed as having Crohn’s disease and treated for one to four years. The true diagnosis was made only at laparotomy when intestinal obstruction necessitated surgery. Metastasis was present in three cases, and two patients died of metastatic disease. Several diseases other than Crohn’s disease may involve the terminal ileum and produce both clinically and radiologically similar features. Differential diagnostic criteria are discussed. Close follow-up, including carefully performed small bowel series with particular attention to the technical and interpretative details, will help avoid misdiagnosis. If the diagnosis is in doubt, there should be no hestitation to recommend a laparotomy.

INDEX TERMS
  • Carcinoid Tumor
  • Crohn Disease
  • Ileal Neoplasms
  • Received May 1987.
  • Accepted November 1987.
  • Copyright © 1988 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 55 (3)
Cleveland Clinic Journal of Medicine
Vol. 55, Issue 3
1 May 1988
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Carcinoid tumors of the terminal ileum simulating Crohn’s disease
Seid Hossein Mir-Madjlessi, Eugene I. Winkelman, Gary A. Davis
Cleveland Clinic Journal of Medicine May 1988, 55 (3) 257-262;

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Carcinoid tumors of the terminal ileum simulating Crohn’s disease
Seid Hossein Mir-Madjlessi, Eugene I. Winkelman, Gary A. Davis
Cleveland Clinic Journal of Medicine May 1988, 55 (3) 257-262;
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Keywords

  • Carcinoid Tumor
  • Crohn Disease
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