VIPoma Crisis: Immediate and life saving reduction of massive stool volumes on starting treatment with octreotide
SQUMJ-Sultan Qaboos University Medical Journal. 2011; 11 (1): 104-107
Dans Anglais
| IMEMR
| ID: emr-110246
ABSTRACT
We report the case of a 57-year-old male physician who presented with a life threatening secretory and refractory diarrhoea of around 20 L/day. This was complicated by severe hypotension, hypokalaemia, hypercalcaemia, renal failure requiring dialysis, metabolic acidosis, cardiorespiratory arrest and ventilation for 12 days. His diarrhoea responded immediately to the first dose of a therapeutic trial of subcutaneous octreotide 100 mcg 8 hourly which was started on clinical grounds alone before any investigations were carried out. After one day he was extubated and his blood pressure returned to normal. When a functioning neuroendocrine tumour is suspected clinically, the use of octreotide can, as in this case, be life saving
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Indice:
Méditerranée orientale
Sujet Principal:
Tumeurs du pancréas
/
Octréotide
/
Tomodensitométrie
/
Études de suivi
/
Vipome
Type d'étude:
Enquête cas-témoins / Études cas/témoins
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Sultan Qaboos Univ. Med. J.
Année:
2011
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