Hindgut gastropancreatic neuroendocrine carcinoma mimicking hydatid disease

Authors

Azza A Elgendy
William MacDonaldFollow
Joseph WhitnahFollow
Daniel MaloneFollow
Brandon Johnson, Advocate Aurora HealthFollow
Nadia Huq, Advocate Aurora HealthFollow

Recommended Citation

Elgendy AA, Macdonald W, Whitnah J, Malone D, Johnson B, Huq N. Hindgut gastropancreatic neuroendocrine carcinoma mimicking hydatid disease. Radiol Case Rep. 2018;13(1):186-190.

Affiliations

Department of Radiology, Aurora St. Luke's Medical Center

Department of Internal Medicine, Aurora St. Luke's Medical Center

Abstract

Primary neuroendocrine tumors of the colon are usually very rare and difficult to spot on a nonfunctional imaging. Metastatic lesions are mostly hypervascular, with only a small percentage appearing as cystic or hypovascular lesions. We present a case of a 34-year-old Hispanic female with a history of dull aching upper abdominal pain lasting for a few months. Initial abdominal ultrasound revealed multiple cystic lesions replacing the hepatic parenchyma concerning for a hydatid disease. Liver biopsy was obtained due to negative serology for hydatid disease, which surprisingly revealed a metastatic neuroendocrine tumor of unknown etiology. The primary disease was depicted within the sigmoid colon on a whole-body Octreotide single-photon emission computed tomography-computed tomography done following the biopsy.

Document Type

Case Report

PubMed ID

29487655