Carcinoid Crisis in a Patient without Previous Carcinoid Syndrome: Perioperative Management and Anesthetics Considerations - A Case Report

Abstract

Anesthetic management of patients with carcinoid tumors can be challenging in the perioperative setting due to the risk of carcinoid mediators release which could precipitate a life-threatening carcinoid crisis. Octreotide is being used to prevent and treat carcinoid crisis, but its prophylactic scheme is not well established yet.We report a carcinoid crisis during the anesthetic management of a 71-year-old female undergoing resection of a carcinoid tumor of the terminal ileum. This report illustrates the importance of early recognition and treatment of clinical manifestations of carcinoid crisis in order to prevent its progression.