Urachal tumour: case report of a poorly understood carcinoma

Background

Synchronous midgut carcinoids with gastrointestinal adenocarcinoma are a rare but recognised association.

Case presentation

The patient, a 74 year old woman, underwent anterior resection for a low rectal adenocarcinoma. Intra-operatively 3 serosal deposits of tumour were noted in the distal ileum. Histology revealed these to be ileal carcinoids.

Conclusion

During resection of a gastrointestinal tumour, a thorough inspection of the abdominal cavity should be undertaken to investigate the possibility of metastatic secondaries or a synchronous tumour as is reported in this case.