Gastrointestinal neuroendocrine tumors in Fontan patients

Autor: Corey Vural, BA, Priya Skaria, MBBS, Louis P. Dehner, MD, Geetika Khanna, MD, MS
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Radiology Case Reports, Vol 15, Iss 11, Pp 2153-2156 (2020)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2020.08.004
Popis: The Fontan procedure used for palliation of single ventricle physiology is associated with multisystemic morbidity. With improving survival and increased use of surveillance imaging in this patient population, long-term complications associated with Fontan circuits are commonly encountered by radiologists. One interesting observation is the apparent increased risk of paragangliomas and pheochromocytomas in this group of patients and perhaps a pathogenetic role of chronic hypoxia. We report 2 cases of gastrointestinal neuroendocrine tumors (NET) in the setting of Fontan circuit. The first is a 20-year-old female with history of hypoplastic left heart and Fontan palliation who presented with hematochezia and was diagnosed with a jejunal grade 2 NET. The second case is of a 12-year-old boy with history Fontan palliation for single ventricle physiology, incidentally found to have a well-differentiated pancreatic NET during precardiac transplant workup. These cases should alert the radiologists to be aware of the apparent association between Fontan procedure and NET.
Databáze: Directory of Open Access Journals