Bronchospasm Complicating A Small Intestine Neuroendocrine Tumor Resection: A Case Report

Small intestinal neuroendocrine tumors (SI-NETs) are rare neoplasms with increasing incidence, known for their diverse clinical presentations and potential hormonal complications. We present the case of a 65-year-old male with a history of chronic smoking and alcoholism, who presented with right iliac fossa pain, liquid diarrhea, and weight loss. Imaging revealed a neuroendocrine tumor of the small intestine, and the patient underwent surgical resection. However, postoperatively, he developed respiratory distress suggestive of bronchospasm, requiring intensive care management. Histopathological analysis confirmed a well-differentiated neuroendocrine tumor, Grade 2. This case underscores the importance of early recognition and management of hemodynamic complications following surgical resection of SI-NETs. Preoperative assessment for carcinoid syndrome and optimization of cardiac function are crucial to minimize perioperative risks. Surgical resection with meticulous attention to complete tumor removal and mesenteric dissection remains the mainstay of treatment for SI-NETs. Further research is needed to refine perioperative management strategies and improve long-term outcomes for patients with SI-NETs.