The Mckittrick-Wheelock Syndrome: A Rare Cause of Severe Hydroelectrolyte Disorders and Acute Renal Failure
| Autor: | Carlo Basile, Andrea Bruno, Fernando Prete, Piero Lisi, Domenico Chimienti, Pasquale Libutti, Alda Montanaro |
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| Rok vydání: | 2011 |
| Předmět: |
Rectal Villous Adenoma
Surgical resection medicine.medical_specialty Pathology business.industry Hypochloremia Case Report lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 medicine.disease Gastroenterology Hypokalemia Diarrhea Nephrology Internal medicine Fluid depletion medicine medicine.symptom Hyponatremia business McKittrick-Wheelock syndrome |
| Zdroj: | Case Reports in Nephrology Case Reports in Nephrology, Vol 2011 (2011) |
| ISSN: | 2090-665X 2090-6641 |
| Popis: | The McKittrick-Wheelock syndrome is a rare cause of severe hydroelectrolyte disorders and fluid depletion as a result of rectal tumor hypersecretion, which can lead to acute renal failure. We report the case of a 70-year-old female who presented with hyponatremia, hypokalemia, hypochloremia, and acute renal failure, due to a watery, mucinous diarrhea. A large rectal villous adenoma was discovered on ileocolonoscopy, and definitive management was achieved by removal of the tumor. In conclusion, reversal of the biochemical derangement is the cornerstone of successful management of the McKittrick-Wheelock syndrome. Then, immediate surgical resection of the tumor is the treatment of choice. |
| Databáze: | OpenAIRE |
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