Small bowel neuroendocrine tumor with carcinoid heart disease

#3870

Introduction: Patients with neuroendocrine tumors are often misdiagnosed, at least for the first stage of the disease. In fact, carcinoid syndrome is the clinical expression of the vasoactive substances produce. Carcinoid heart disease is a hazardous and irreversible complication especially in late identified cases.

Aim(s): We report the case of a small bowel neuroendocrine tumor with cardiac involvement and review of the literature.

Materials and methods: The 61-year-old patient B.B who consulted for abdominal pain, an abdomino pelvic scan was done objectifying multiple hepatic nodules whose biopsy with immunohistochemical study was in favour of a well-differentiated grade II neuroendocrine tumor with a positivity of chromogranin A, synaptophysin. A cardiac ultrasound was done as part of the assessment pre-therapeutic objectified damage to the right heart with good function of the right and left ventricle; the octreoscan had shown hyperfixation in the liver and another hyperfixation in the small bowel.

Conference:

Presenting Author:

Authors: Aliane H, Ghomari-Bezzar S,

Keywords: Neuroendocrine, Small bowel,