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Revista médica de Chile · Jul 2008
Case Reports[McKittrick- Wheelock syndrome: report of one case].
- Rafael Mila, Sofía Grille, Marcelo Laurini, Diego Lapiedra, and Juan Carlos Bagattini.
- Clínica Médica 2, Facultad de Medicina, Universidad de la República, Montevideo, Uruguay. rmila@hc.edu.uy
- Rev Med Chil. 2008 Jul 1;136(7):900-4.
AbstractVillous colorectal adenomas are common tumors that normally provoke scarce symptomatology. We report a 59 year-old female that was admitted with severe dehydration due to severe diarrhea lasting 10 days and vomiting in the last 48 hours. On rectal palpation a large tumor located 5 cm above the anus was palpated. Colonoscopy confirmed the presence of a villous adenoma that was excised surgically. In this patient, the fluid and electrolyte hypersecretion of the rectal villous adenoma provoked a depletion syndrome with serious hydroelectrolytic alterations, acute renal failure and hypovolemic shock. This syndrome was first described by McKittrick and Wheelock in 1954.
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