Severe intrapulmonary shunting associated with metastatic carcinoid.
A 37-year-old woman with a 10-year history of metastatic carcinoid presented to her oncologist with increased dyspnea. Further evaluation revealed hypoxemia and intrapulmonary vasodilatation. We describe a case of hepatopulmonary-like physiology associated with metastatic carcinoid in a patient with intact liver function. To our knowledge, this is the first documented case of intrapulmonary shunting and hepatopulmonary-like physiology associated with metastatic carcinoid.
Lee
D F
DF
Dwight David Eisenhower Army Medical Center, Fort Gordon, GA, USA.
Lepler
L S
LS
D000328:Adult; D002276:Carcinoid Tumor / Q000556:secondary*; D005260:Female; D020065:Hepatopulmonary Syndrome / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008303:Malignant Carcinoid Syndrome / Q000175:diagnosis / Q000503:physiopathology*; D011652:Pulmonary Circulation; D014664:Vasodilation