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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Authors | Omayma Elshafie, Christopher Grant, Aisha Al-Hamdani, Rajeev Jain, Nicholas Woodhouse |
Journal | Sultan Qaboos University medical journal
(Sultan Qaboos Univ Med J)
Vol. 11
Issue 1
Pg. 104-7
(Feb 2011)
ISSN: 2075-0528 [Electronic] Oman |
PMID | 21509215
(Publication Type: Journal Article)
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