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Reminder of important clinical lesson
A wolf in sheep's clothing
  1. C M Bakker1,
  2. M N Sosef2,
  3. R A Vliegen3
  1. 1Department of Gastroenterology, Atrium Medical Centre, Heerlen, Netherlands
  2. 2Department of Surgery, Atrium Medical Centre, Heerlen, Netherlands
  3. 3Department of Radiology, Atrium Medical Centre, Heerlen, Netherlands
  1. Correspondence to C M Bakker, bakker{at}


Carcinoid tumours are often difficult to diagnose because of non-specific symptoms, mimicking those of irritable bowel disease of Crohn's disease. The authors describe a 57-year-old patient with clinical and radiological features, suggestive of Crohn's disease, in whom the diagnosis was proved to be a carcinoid tumour involving the terminal ileum. This case report illustrates that ileal carcinoid should be considered in the differential diagnosis of Crohn's disease, particularly in older patients.

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  • Competing interests None.

  • Patient consent Obtained.

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