McKittrick Wheelock syndrome secondary to adenocarcinoma of the rectum: case report and diagnostic considerations
J. coloproctol. (Rio J., Impr.)
;
43(3): 224-226, July-sept. 2023. ilus
Article
in English
| LILACS
| ID: biblio-1521144
ABSTRACT
Introduction:
McKittrick-Wheelock syndrome is a rare entity characterized by chronic diarrhea, acute kidney injury, and hydroelectrolytic imbalance associated with a large rectal tumor, frequently a villous adenoma. Case report A 69-year-old male with chronic diarrhea with mucus. He underwent a colonoscopy with biopsies, reporting adenocarcinoma of the rectum in situ, and underwent a robot assisted intersphincteric resection with colo-anal anastomosis and a protecitive ileostomy.Discussion:
Described in 1954, this syndrome is manifested by electrolyte imbalance and acute renal injury secondary to diarrhea associated with a rectal villous adenoma, often with long lasting symptoms. The most frequent symptom being watery diarrhea with mucus. The definitive treatment consists of surgical resection.Conclusion:
Although this is a rare pathology, it should be considered as a differential diagnosis in cases of chronic diarrhea associated with water and electrolyte disorders. (AU)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Rectal Neoplasms
/
Adenocarcinoma
/
Adenoma, Villous
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
J. coloproctol. (Rio J., Impr.)
Journal subject:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
Gastroenterology
/
Cirurgia
Year:
2023
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Hospital Angeles Pedregal/MX
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