Hindgut gastropancreatic neuroendocrine carcinoma mimicking hydatid disease
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.
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.