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Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"
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2021, Number 4

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Acta Med Cent 2021; 15 (4)

Síndrome de McKittrick-Wheelock. Informe de caso

Fernández GR, Vázquez CY, Aparicio SJA
Full text How to cite this article

Language: Spanish
References: 9
Page: 605-611
PDF size: 479.63 Kb.


Key words:

McKittrick-Wheelock syndrome, colorectal adenomas, anoplasty, hemorrhoidectomy, hemorrhoidectomy.

ABSTRACT

Introduction: McKittrick-Wheelock syndrome is a rare disease worldwide. It is characterized by the sudden appearance of large adenomas that prolapse rectally or by the presence of rectal villous adenomas that produce chronic diarrhea, water and electrolyte loss, renal failure and rectal bleeding. Treatment is mainly surgical (polypectomy).
Patient information: male patient, with a personal pathological history of chronic renal failure and right renal transplant. He was admitted with a diagnosis of chronic diarrhea, during the hospital stay, when defecating, he felt that a “mass” prolapsed through the anus, accompanied by abundant bleeding. The “mass” did not reduce spontaneously and she continued with bleeding, abundant secretions, rectal pain and diarrhea.
Conclusions: McKittrick-Wheelock syndrome is extremely rare but, due to the serious condition to which it leads the patient, it must be promptly managed by the medical staff, with adequate correction of the internal environment and timely surgical treatment as the only solution.


REFERENCES

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  2. Kral A, Vega J. Síndrome de McKittrick-Wheelock. Una causa infrecuente de hipokalemia e injuria renal aguda. Caso clínico. Rev Med Chile [Internet]. 2017 [citado 04/11/2019];145(7):950-953. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000700950. http://dx.doi.org/10.4067/s0034-98872017000700950

  3. Podestà MA, Cucchiari D, Merizzoli E, Elmore U, Angelini C, Badalamenti S. McKittrick-Wheelock syndrome: a rare cause of acute renal failure and hypokalemia not to be overlooked. Ren Fail [Internet]. 2014 [citado 04/11/2019];36(5):811-813. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24564376/. https://doi.org/10.3109/0886022X.2014.890056

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  8. Agnes A, Novelli D, Doglietto GB, Papa V. A case report of a giant rectal adenoma causing secretory diarrhea and acute renal failure: McKittrick-Wheelock syndrome. BMC Surg [Internet]. 2016 [citado 04/11/2019];16:39. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4895885/. https://dx.doi.org/10.1186/s12893-016-0153-2

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Acta Med Cent. 2021;15