Gastric carcinoid tumour as a cause of severe upper gastrointestinal haemorrhage

A 39-year-old woman was admitted on an emergency basis with severe upper gastrointestinal bleeding. On examination, she was shocked and had a haemoglobin of 37 g/l. Following resuscitation, she underwent an emergency upper gastrointestinal endoscopy, which showed a polypoid lesion in the antrum of the stomach (Figure [1]). As she remained unstable, a laparotomy was undertaken, at which the palpable lesion was identified (Figure [2]) and excised using an elliptical incision, with clear macroscopic margins. Pathological examination of the gastric tissue revealed a gastric carcinoid tumour (Figure [3]). The patient subsequently underwent a radical subtotal gastrectomy with Roux-en-Y gastrojejunal anastomosis. Histology showed that the resection margins were free from any tumour.