Abstract
A carcinoid crisis is a severe complication of the carcinoid syndrome that can arise in patients with advanced metastatic neuroendocrine tumors. It can be initiated by stress, catecholamines, and tumor manipulation. In this article, we report a case in which an injection with the catecholamine tracer 6-18F-fluorodihydroxyphenylalanine, used for PET, induced a carcinoid crisis. Octreotide can be used for treatment and should be available. Tracer injection should be slow.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Dihydroxyphenylalanine / adverse effects*
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Dihydroxyphenylalanine / analogs & derivatives*
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Female
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Gastrointestinal Neoplasms / chemically induced*
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Gastrointestinal Neoplasms / diagnostic imaging
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Gastrointestinal Neoplasms / drug therapy
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Humans
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Injections, Intravenous / adverse effects
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Liver Neoplasms / diagnostic imaging*
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Liver Neoplasms / secondary*
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Malignant Carcinoid Syndrome / chemically induced*
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Malignant Carcinoid Syndrome / diagnostic imaging
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Malignant Carcinoid Syndrome / drug therapy
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Middle Aged
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Octreotide / therapeutic use
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Radionuclide Imaging
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Radiopharmaceuticals / adverse effects
Substances
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Radiopharmaceuticals
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fluorodopa F 18
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Dihydroxyphenylalanine
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Octreotide