Jorge Silva, Gil Rodrigues and Humberto Machado
Anesthetic management of patients with carcinoid tumors can be challenging in the perioperative setting due to the risk of carcinoid mediators release which could precipitate a life-threatening carcinoid crisis. Octreotide is being used to prevent and treat carcinoid crisis, but its prophylactic scheme is not well established yet. We report a carcinoid crisis during the anesthetic management of a 71-year-old female undergoing resection of a carcinoid tumor of the terminal ileum. This report illustrates the importance of early recognition and treatment of clinical manifestations of carcinoid crisis in order to prevent its progression.