The complicated management of a patient following transarterial chemoembolization for metastatic carcinoid
<p>Abstract</p> <p>Background</p> <p>Transarterial Chemoembolization (TACE) has been recognized as a successful way of managing symptomatic and/or progressive hepatic carcinoid metastases not amenable to surgical resection. Although it is a fairly safe procedure, it is...
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doaj-03522d8d9af6450d8260176dc711edde2020-11-25T00:23:58ZengBMCWorld Journal of Surgical Oncology1477-78192008-11-016112510.1186/1477-7819-6-125The complicated management of a patient following transarterial chemoembolization for metastatic carcinoidShah Manisha HSteinberg StevenPearson Andrew CBloomston Mark<p>Abstract</p> <p>Background</p> <p>Transarterial Chemoembolization (TACE) has been recognized as a successful way of managing symptomatic and/or progressive hepatic carcinoid metastases not amenable to surgical resection. Although it is a fairly safe procedure, it is not without its complications.</p> <p>Case presentation</p> <p>This is a case of a 53 year-old woman with a patent foramen ovale (PFO) and mild pulmonary hypertension who underwent TACE for progressive carcinoid liver metastases. She developed acute heart failure, due to a severe inflammatory response; this resulted in pneumatosis intestinalis due to non-occlusive mesenteric ischemia. We describe the successful non-operative management of her pneumatosis intestinalis and the role of a PFO in this patient's heart failure.</p> <p>Conclusion</p> <p>TACE remains an effective and safe treatment for metastatic carcinoid not amenable to resection, this case illustrates the complexity of complications that can arise. A multi-disciplinary approach including ready access to advanced critical care facilities is recommended in managing such complex patients.</p> http://www.wjso.com/content/6/1/125 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shah Manisha H Steinberg Steven Pearson Andrew C Bloomston Mark |
spellingShingle |
Shah Manisha H Steinberg Steven Pearson Andrew C Bloomston Mark The complicated management of a patient following transarterial chemoembolization for metastatic carcinoid World Journal of Surgical Oncology |
author_facet |
Shah Manisha H Steinberg Steven Pearson Andrew C Bloomston Mark |
author_sort |
Shah Manisha H |
title |
The complicated management of a patient following transarterial chemoembolization for metastatic carcinoid |
title_short |
The complicated management of a patient following transarterial chemoembolization for metastatic carcinoid |
title_full |
The complicated management of a patient following transarterial chemoembolization for metastatic carcinoid |
title_fullStr |
The complicated management of a patient following transarterial chemoembolization for metastatic carcinoid |
title_full_unstemmed |
The complicated management of a patient following transarterial chemoembolization for metastatic carcinoid |
title_sort |
complicated management of a patient following transarterial chemoembolization for metastatic carcinoid |
publisher |
BMC |
series |
World Journal of Surgical Oncology |
issn |
1477-7819 |
publishDate |
2008-11-01 |
description |
<p>Abstract</p> <p>Background</p> <p>Transarterial Chemoembolization (TACE) has been recognized as a successful way of managing symptomatic and/or progressive hepatic carcinoid metastases not amenable to surgical resection. Although it is a fairly safe procedure, it is not without its complications.</p> <p>Case presentation</p> <p>This is a case of a 53 year-old woman with a patent foramen ovale (PFO) and mild pulmonary hypertension who underwent TACE for progressive carcinoid liver metastases. She developed acute heart failure, due to a severe inflammatory response; this resulted in pneumatosis intestinalis due to non-occlusive mesenteric ischemia. We describe the successful non-operative management of her pneumatosis intestinalis and the role of a PFO in this patient's heart failure.</p> <p>Conclusion</p> <p>TACE remains an effective and safe treatment for metastatic carcinoid not amenable to resection, this case illustrates the complexity of complications that can arise. A multi-disciplinary approach including ready access to advanced critical care facilities is recommended in managing such complex patients.</p> |
url |
http://www.wjso.com/content/6/1/125 |
work_keys_str_mv |
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