Anaesthetic management of a pregnant woman with carcinoid disease.
Carcinoid tumours are neuroendocrine in origin and release vasoactive substances. Carcinoid tumours may be associated with carcinoid syndrome in 2-5% of patients and result in haemodynamic instability, bronchospasm, volume and electrolyte imbalance, and hyperglycaemia. We present the anaesthetic management of a 29-year-old parturient with metastatic carcinoid tumour. Although our patient did not ultimately develop carcinoid syndrome during the peripartum period, it was important that we used a multidisciplinary team approach, with close monitoring of her antenatal progress, and planned epidural analgesia for labour and delivery.
Woo
K M
KM
Schulich School of Medicine, University of Western Ontario, London, Ontario, Canada. kathwoo@hotmail.com
Imasogie
N N
NN
Bruni
I
I
Singh
S I
SI
D000328:Adult; D015360:Analgesia, Epidural / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002276:Carcinoid Tumor / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000473:pathology*; D010348:Patient Care Team; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D016896:Treatment Outcome