The diversity of presenting features of gastrointestinal (GI) carcinoids presents a major challenge in the diagnosis and treatment of these cases.  An increasing incidence of midgut carcinoids is being reported due to improved diagnostic modalities. Occult metastatic carcinoid in mesenteric nodes requires a diligent search for localisation of primary tumor in GIT which are often smaller in size than the metastasis and requires a high index of suspicion and meticulous examination for detection. Here we describe two cases presenting as metastatic carcinoid in mesenteric nodes of unknown origin, which on further investigation revealed primary of small size in the midgut.

Keywords: Neuroendocrine tumors; Midgut carcinoid; Metastatic carcinoid; Mesentric metastasis; Small sized carcinoid.