Case report: Anesthesia management for surgical treatment of glucagonoma with symptom of characterized necrolytic migratory erythema

Front Oncol. 2024 Dec 19:14:1408506. doi: 10.3389/fonc.2024.1408506. eCollection 2024.

Abstract

Background: The anesthetic management of patients with glucagonoma is complicated by a number of factors including glucose fluctuation, characterized necrolytic migratory erythema in oral and pharyngeal, which may lead to an unexpected difficult airway.

Case presentation: Herein we describe the anesthetic considerations and management of a 47-year-old adult with glucagonoma, who presented for a laparoscopic splenectomy and distal pancreatectomy procedure.

Conclusion: This report details fiberoptic intubation in an adult with glucagonoma and necrolytic migratory erythema. We recommend that this approach be considered in patients with glucagonoma and severe necrolytic migratory erythema undergoing general anesthesia.

Keywords: anesthesia management; difficult airway; fiberoptic intubation; glucagonoma; necrolytic migratory erythema.

Publication types

  • Case Reports

Grants and funding

The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study was supported by National High Level Hospital Clinical Research Funding, 2022-PUMCH-B-007.