PMC9829749_01
Computed tomography scan revealing extensive hepatic metastases.
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Computed tomography and Gallium-68 positron emission tomography demonstrated a small bowel tumor with mesenteric, omental, and liver metastases (Fig. 1, Fig. 2).
Hematoxylin and eosin histological slide of a liver biopsy with chromogranin staining, revealing neuroendocrine tumor on the left of the slide and normal liver on the right.
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A biopsy of a hepatic metastasis was consistent with a well-differentiated carcinoid tumor (Fig. 3).
Midesophageal 4-chamber color Doppler TEE view demonstrating severe tricuspid regurgitation.
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Transesophageal echocardiography (TEE) midesophageal 4-chamber and transgastric right ventricular inflow views revealed severely restricted motion of the tricuspid valve leaflets and severe regurgitation (Fig. 4, Fig. 5, Fig. 6; Video clip 1, Video clip 2, Video clip 3). TEE view also showed pulmonic valve leaflet immobility and severe insufficiency (Fig. 7, video clip 4). The right ventricle was dilated, but its systolic function was grossly normal.
Transgastric right ventricular inflow color Doppler TEE view demonstrating severe tricuspid regurgitation.
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Transesophageal echocardiography (TEE) midesophageal 4-chamber and transgastric right ventricular inflow views revealed severely restricted motion of the tricuspid valve leaflets and severe regurgitation (Fig. 4, Fig. 5, Fig. 6; Video clip 1, Video clip 2, Video clip 3).
Midesophageal right ventricular inflow-outflow color Doppler TEE view showing severe pulmonic insufficiency.
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TEE view also showed pulmonic valve leaflet immobility and severe insufficiency (Fig. 7, video clip 4). The right ventricle was dilated, but its systolic function was grossly normal.