ANAPHYLACTOID OR CARCINOID CRISIS?
نویسندگان
چکیده
منابع مشابه
Anaphylactoid or carcinoid?
A patient with a carcinoid tumour and a history suggestive of carcinoid syndrome, but with no biochemical evidence in support, had a cardiovascular collapse during an anaesthetic with propofol and suxamethonium. Subsequent investigations suggested an anaphylactoid reaction to suxamethonium, but there were features in common with a carcinoid crisis. The necessity for a second anaesthetic soon af...
متن کاملIntra-operative carcinoid crisis: Revised anaesthesia management
Carcinoid is a tumour of amine precursor uptake and decarboxylation cells.[1] Tumours arise in the gastrointestinal tract (67.5%) and the bronchopulmonary system (25.3%). Pulmonary carcinoids account for 2% of all primary lung cancers with a 10-year survival of 82%–92%.[2] Bronchial carcinoids are perihilar and present with chest pain but can present as asthma, recurrent pneumonia, cough or hae...
متن کاملCarcinoid crisis and reversible right ventricular dysfunction after embolization in untreated carcinoid syndrome.
A 59-year-old white male with carcinoid tumor and hepatic metastases underwent hepatic artery embolization. The patient developed carcinoid crisis and a subsequent transthoracic echocardiogram showed classic findings of carcinoid heart disease along with a dilated hypertrophied right ventricle and severely depressed right ventricular ejection fraction. After treatment with octreotide the patien...
متن کاملCarcinoid crisis after injection of 6-18F-fluorodihydroxyphenylalanine in a patient with metastatic carcinoid.
A carcinoid crisis is a severe complication of the carcinoid syndrome that can arise in patients with advanced metastatic neuroendocrine tumors. It can be initiated by stress, catecholamines, and tumor manipulation. In this article, we report a case in which an injection with the catecholamine tracer 6-18F-fluorodihydroxyphenylalanine, used for PET, induced a carcinoid crisis. Octreotide can be...
متن کاملReversible Right-Sided Heart Failure Secondary to Carcinoid Crisis
Carcinoid crisis is an infrequent and little-described complication of neuroendocrine tumors that can be life threatening. It may develop during induction of anesthesia, intraoperatively, during tumor manipulation and arterial embolization, or even spontaneously. The massive release of neuroendocrine substances can lead to potentially fatal complications. Somatostatin analogs inhibit the releas...
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ژورنال
عنوان ژورنال: British Journal of Anaesthesia
سال: 1993
ISSN: 0007-0912
DOI: 10.1093/bja/71.4.609