Limitations of angiography for mesenteric ischemia caused by midgut carcinoid tumors.

Published

Journal Article

Mesenteric ischemia associated with carcinoid tumors often presents with nonspecific abdominal pain and is usually due to mesenteric branch artery occlusion caused by elastic vascular sclerosis. Mesenteric ischemia was defined by the operative findings of cyanosis or infarction. Eleven patients with intraabdominal metastatic carcinoid tumor were evaluated by angiography. Angiographic narrowing and occlusion of multiple peripheral jejunal and ileal intramesenteric branch arteries was present in 3 patients with mesenteric ischemia, but also occurred in 5 of 8 patients without mesenteric ischemia. Other angiographic abnormalities included staining of the primary tumor (5) or metastases (6), tenting of small mesenteric vessels (5), and occlusion of draining mesenteric veins (2). We conclude that in patients with midgut carcinoid tumors, angiographic narrowing and occlusion of peripheral mesenteric arteries most likely represents elastic vascular sclerosis, is indicative of mesenteric invasion of tumor, but correlates poorly with the presence of ischemia in the subtended bowel. Alternatively, a normal selective arteriogram should exclude mesenteric ischemia as the cause of abnormal pain.

Full Text

Duke Authors

Cited Authors

  • Rose, SC; Meyers, WC; Saeed, M; Feldman, JM

Published Date

  • May 1989

Published In

Volume / Issue

  • 12 / 3

Start / End Page

  • 131 - 135

PubMed ID

  • 2507147

Pubmed Central ID

  • 2507147

International Standard Serial Number (ISSN)

  • 0174-1551

Digital Object Identifier (DOI)

  • 10.1007/bf02577376

Language

  • eng

Conference Location

  • United States