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Journal of Ultrasound

, Volume 19, Issue 1, pp 57–60 | Cite as

Diagnosis of one small bowel tumor: the role of conventional ultrasound and elastography

  • Andrea Giannetti
  • Paola Randisi
  • Michela Stumpo
  • Francesco Coratti
Case Report

Abstract

Neuroendocrine tumors are the most common primary tumors of the small bowel, but diagnosis is usually delayed as the lesions are small and symptoms are mild or nonspecific. Diagnosis of this disease is currently based on radiologic or endoscopic findings. Ultrasound (US) is used as a first-line examination in patients with abdominal symptoms, as this technique permits an overall view of the gastrointestinal tract providing diagnosis of inflammatory and/or neoplastic disorders in a large proportion of patients. The aim of this case report is to describe the feasibility and diagnostic accuracy of elastography in the diagnosis of a tumor of the ileum. The patient underwent conventional gray-scale US and elastography before surgery and these examinations were repeated postoperatively on the surgical specimen confirming preoperative outcome.

Keywords

Tumor Neuroendocrine tumors Small bowel Ultrasound 

Riassunto

Il tumore neuroendocrino, tra le neoplasie primitive dell’intestino tenue, è il più frequente, la diagnosi è usualmente tardiva per le piccole dimensioni e per la sintomatologia lieve, poco specifica. La diagnosi di questa forma morbosa si basa attualmente su metodiche radiologiche o endoscopiche. L’ecografia è indagine di primo livello in soggetti con sintomatologia addominale ed in una percentuale di soggetti permette anche lo studio del tubo digerente e la diagnosi di patologie neoplastiche o infiammatorie. Scopo del lavoro è di descrivere l’utilità della elastografia nella diagnosi di un tumore dell’ileo in cui l’esame ecografico convenzionale ed elastografico sono stati effettuati sul paziente prima dell’intervento chirurgico e successivamente sul pezzo operatorio con conferma dei riscontri precedenti all’intervento.

Notes

Conflict of interest

Andrea Giannetti, Paola Randisi, Michela Stumpo, Francesco Coratti declare that they have no conflict of interest related to this paper. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. The patient provided written informed consent to the publication of this paper and to the inclusion in this article of information and images that could potentially lead to his identification.

References

  1. 1.
    Cosgrove D, Piscaglia F, Bamber J et al (2013) EFSUMB guidelines and recommendations on the clinical use of ultrasound elastography. Part 2: clinical application. Ultraschall Med 34(3):238–253. doi: 10.1055/s-0033-1335375 CrossRefPubMedGoogle Scholar
  2. 2.
    Havre RF, Leh S, Gilja OH, Ødegaard S, Waage JE, Baatrup G, Nesje LB (2011) Strain assessment in surgically resected inflammatory and neoplastic bowell lesions. Ultraschall Med 35(2):149–158. doi: 10.1055/s-0032-1325535 Google Scholar
  3. 3.
    Waage J, Havre R, Ødegaard S, Leh S, Eide GE, Baatrup G (2011) Endorectal elastography in the evaluation of rectal tumours. Colorectal Dis 13:1130–1137. doi: 10.1111/j.1463-1318.2010.02440.x CrossRefPubMedGoogle Scholar
  4. 4.
    Cantisani V, Rubini A, Miniaggio G (2013) CEUS and strain elastography in gastric carcinoma. J Ultrasound 16:123–125PubMedCentralCrossRefPubMedGoogle Scholar

Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2014

Authors and Affiliations

  • Andrea Giannetti
    • 1
  • Paola Randisi
    • 2
  • Michela Stumpo
    • 3
  • Francesco Coratti
    • 4
  1. 1.Gastroenterology UnitMisericordia HospitalGrossetoItaly
  2. 2.Medicine DepartmentMisericordia HospitalGrossetoItaly
  3. 3.Pathology DepartmentMisericordia HospitalGrossetoItaly
  4. 4.Surgery DepartmentMisericordia HospitalGrossetoItaly

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