BACKGROUND The management of patients with carcinoid heart disease poses two major challenges for the anaesthetist: carcinoid crisis and low cardiac output secondary to right ventricular (RV) failure. Carcinoid crises may be precipitated by the administration of catecholamines and histamine-releasing drugs. METHODS We analysed a series of 11 patients [six males, median (range) age 60 (42-73) ...

Transthoracic and transoesophageal cardiac echocardiography and Doppler investigations were performed in 31 consecutive patients with malignant midgut carcinoid tumours. The transoesophageal images allowed measurement of the thickness of the atrioventricular valve leaflets and the superficial wall layers on the cavity side of both atria. The mean thickness of the anterior tricuspid leaflet was ...

UNLABELLED Ovarian carcinoids are very rare, and only their insular form is associated with carcinoid syndrome. We herein describe a case report of an elderly woman who presented with typical carcinoid syndrome, which is routinely characterized by right-sided heart failure, diarrhoea, flushes, and other common manifestations. Further examination and biochemical testing of the patient confirmed ...

BACKGROUND: Primary hepatic carcinoid tumor is rare and poses a challenge for diagnosis and management. We presented a case of Primary hepatic carcinoid tumor in a 70-year –old male with a complaint of right upper abdominal pain. Computer tomography scans revealed a hyper vascular mass in segment 5, 6th and 8 of the liver. An ultrasonography –guided biopsy showed a carcinoid tumor.No other lesi...

From the Departments of *General Surgery, †General Pathology and ‡General Internal Medicine, Vernon Jubilee Hospital, Vernon, BC T he association of Crohn disease and adenocarcinoma of the small intestine and colon has been well established. However, malignant carcinoid of the small intestine associated with Crohn disease is rare. We describe the case of a patient with an incidental malignant c...

Purpose: We report an unusual case of trabecular carcinoid of the ovary with orbital involvement. Methods: We encountered a 49-year-old woman with a complaint of bilateral proptosis. Ocular examination revealed severe bilateral proptosis and signs of corneal exposure. Orbital CT scan showed massive enlargement of extraocular muscles and optic nerve compression. The patient medical history showe...

Carcinoid tumor is a slow-growing type of neuroendocrine tumor, originating in the enterochromaffin cells and secreting mainly serotonin. The diagnosis is based on clinical symptoms, hormone levels, radiological and nuclear imaging, and histological confirmation. The clinical symptoms are characterized by flushing, diarrhea, abdominal pain, telangiectasia and/or bronchoconstriction. However, mo...

In the April issue of Inflammatory Bowel Diseases,West et al1 reported that carcinoid tumors are 15 times more common in patients with Crohn’s disease (CD, 4/111) compared with controls (3/1199). The number of incidental carcinoid tumors in patients who underwent appendectomy was used as a control. The West Midlands Regional Children’s Tumor Research Group showed an incidence of 1.0–1.42 cases ...