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In rare cases, systemic vasoconstriction can be observed, probably caused by catecholamines or similar acting substances. Here, we report a fatal case of fulminant systemic vasoconstriction possibly caused by catecholamines in a patient with metastasized ileal NET. The vasospasm was detected by CT-angiography, and hemodynamic monitoring revealed a high systemic vascular resistance. Epinephrine, norepinephrine, and chromogranin A levels in plasma were elevated as was the urinary 5-hydroxyindoleacetic acid (5-HIAA). The cause of death was heart failure due to severe circulatory insufficiency. The progression of the tumor disease was confirmed by autopsy.<\/jats:p>","DOI":"10.1155\/2017\/9810194","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T21:02:05Z","timestamp":1500411725000},"page":"1-6","source":"Crossref","is-referenced-by-count":2,"title":["Fatal Systemic Vasoconstriction in a Case of Metastatic Small-Intestinal NET"],"prefix":"10.1155","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7317-7128","authenticated-orcid":true,"given":"Jochen","family":"Stenzel","sequence":"first","affiliation":[{"name":"Department of Clinical Toxicology, Klinikum rechts der Isar, Technical University of Munich, Ismaningerstrasse 22, 81675 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Noe","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine II (Gastroenterology), Klinikum rechts der Isar, Technical University of Munich, Ismaningerstrasse 22, 81675 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