Management of gastrointestinal carcinoid tumours - 10 years experience at a district general hospital.

Background: There is paucity of guidelines regarding management of gastrointestinal carcinoid tumours in district hospitals.

Methods: This study was undertaken at a district hospital to analyse the management pathway of gastrointestinal carcinoid tumours.

Results: Over a period of 10 years there were 35 patients, with an estimated annual incidence of 2.

Left sided diverticulitis presenting as a right lumbar fistula: a case report.

The formation of fistulae is a recognised complication of diverticulitis. This case report describes sigmoid diverticulitis presenting as a right psoas abscess with a colocutaneous fistula. The report highlights the role of appropriate imaging and a high index of suspicion in anyone presenting with a discharging lumbar abscess, especially when the focus of infection may be from a contra-lateral source.

Gastrointestinal autonomic nerve tumours--report of a case and review of literature.

Background: Gastrointestinal autonomic nerve tumours are uncommon stromal tumours of the intestinal tract. They can involve any part of the gastrointestinal system, but are very rarely seen in the rectum.

Case Presentation: We report a unique case of rectal schwannoma with associated synchronous adenocarcinoma of the splenic flexure and adenoma of the descending colon.