Anaesthetic Management of a Suspected Carcinoid Tumor

Carcinoid tumors are slow growing neoplasms of neuro-endocrine tissues arising from enterochromaffin cells and although rare can create serious problems during the surgery due to myriad clinical manifestations and perioperative complications. A slow growing tumor, it remains asymptomatic and is mostly found coincidentally intraoperative. Tumor secretes mediators which, if, bypass the hepatic metabolism result in Carcinoid syndrome characterized by profound hemodynamic instability intraoperative. Diagnosed patients who are already receiving octreotide show better hemodynamic control during surgery. We present a case of anaesthetic management of intestinal obstruction with illeal mass in a 65 year old male who was operated with the suspicion of Carcinoid tumor, proven later on histopathology.