Multiple carcinoid tumor of the ileum presented as intestinal obstruction

Gastrointestinal carcinoid arises from enterochromaffin cells. These are relatively slow-growing tumors with an indolent course. We present the case of a 70-year-old male patient complaining of abdominal pain and vomiting with palpable abdominal mass clinically suspected as an intestinal obstruction. On radioimaging, computed tomography abdomen and pelvis revealed malignant stricture small bowel likely carcinoid causing mechanical small bowel obstruction. Histopathology reported multiple carcinoid tumor of the ileum with stricture and extensive spread in multiple nodules at mesentery. We present this case for its clinical, radiological, and histopathological findings.