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Published on: April 12, 2024
[Carcinoid syndrome. A clinical report].
Elson Salgueiro1, Cristina Cruz, Paulo Pinho
1Serviço de Cirurgia Cardiotorácica e de Cardiologia do Hospital S. João, Porto, Portugal.
Carcinoid syndrome, a rare condition causing flush and diarrhea, was diagnosed in a patient awaiting cardiac surgery. Prompt surgical intervention for the primary tumor, metastases, and valve replacement proved successful.
Area of Science:
- Oncology
- Cardiology
- Gastroenterology
Background:
- Carcinoid syndrome is a rare, slowly progressing clinical condition.
- Symptoms include flushing, diarrhea, and asthma, often delaying diagnosis until cardiac involvement occurs.
Purpose of the Study:
- To report a clinical case of carcinoid syndrome presenting with an acute abdominal condition.
- To highlight the diagnostic challenges and successful management of a complex case.
Main Methods:
- Case report of a 62-year-old male with tricuspid valve disorder.
- Diagnosis of carcinoid syndrome during evaluation for cardiac surgery.
- Surgical management including right hemicolectomy, liver metastasis removal, and tricuspid valve replacement.
Main Results:
- Carcinoid syndrome was detected in a patient with pre-existing tricuspid valve disorder.
- Successful surgical excision of the primary tumor and hepatic metastases.
- Tricuspid valve replacement was performed concurrently.
Conclusions:
- Early detection and surgical intervention are crucial for managing carcinoid syndrome, even in complex cardiac cases.
- Multidisciplinary management involving oncology, cardiology, and surgery is essential for optimal patient outcomes.
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