Metastatic carcinoid tumour presenting as hepatic encephalopathy

Alexander Stojadinovic*, Peter J. Allen, Craig D. Shriver

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background: Hepatic encephalopathy is rarely encountered with carcinoid syndrome, but massive hepatic replacement by carcinoid tumour can cause neuropsychiatric alterations. Case outline: A man of 42 years presented with carcinoid syndrome accompanied by features of hepatic encephalopathy. Following extended right hepatectomy his mental status returned to normal in line with markers of hepatic failure. Conclusion: Extensive replacement of liver parenchyma by carcinoid tumours can lead to hepatic dysfunction as circulating levels of unmetabolised ammonia rise secondary to porto systemic shunting.

Original languageEnglish
Pages (from-to)47-49
Number of pages3
Issue number1
StatePublished - 2002
Externally publishedYes


  • Carcinoid syndrome
  • Hepatic encephalopathy
  • Liver


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