Background: Carcinoid tumours are relatively rare neuroendocrine tumors comprising 2 % of all gastrointestinal tumours. Midgut carcinoids are neuro -endocrine tumours that metastasize to the intestinal mesentery, where they predispose to intestinal obstruction and ischemia . Approximately 40%–80% of gastrointestinal carcinoids spread to the mesentery, either by direct extension or through the local lymphatics.
Case Presentation: We present a rare case of a 70-year-old female who presented with pain abdomen, obstipation and vomiting, which was later identified as a terminal ileum carcinoid tumor with large metastatic mesentric carcinoid tumor, presenting as a small bowel obstruction.
Conclusion: Despite the rarity of this condition, carcinoid tumours are the most common lesion seen to affect the distal small intestine. Unfortunately, in the majority of cases presentation is often late in the disease and metastases are therefore regularly seen at the time of diagnosis. Surgical resection is the only curative management option and there is evidence to support a better prognosis when lesions are small.