Pediatric Anxiety Disorder after Operation for Carcinoid: A Case Report

One of the most common abdominal emergency situations which requires operation is acute apendicitis. The obstruction of the lumen is the primary cause of acute appendicitis and some unusual factors such as a carcinoid tumor may be involved in the pathogenesis. This rare tumor describes a 16-year-old girl presented with an abdominal pain which had a clinical presentation that was not different compared with the usual form of appendicitis and was diagnosed via the investigation of the appendectomy specimen histopathologically. During the follow-up, no oncologic adjuvant therapy was needed. However, at routine pediatric surgery examinations, child cardiology and psychiatry consultations were requested since the patient reported tachycardia, sweating, and difficulty of breathing, which were not present before. The postoperative period was surgically free of complications in the child surgery clinic controls and there was no metastasis. However, the pediatric anxiety disorder treatment of the patient is ongoing. This type of clinical postoperative manifestation is not found in the literature and a multi-disciplinary approach may be needed in appendix carcinoid tumor cases even after an unproblematic surgical intervention.