Year 2022 / Volume 114 / Number 4
Letter
McKittrick-Wheelock syndrome: rectal villous adenoma as a cause of acute renal failure

245

DOI: 10.17235/reed.2022.8518/2021

Carlos Ordieres Díaz, Isabel Pérez Valle, Margarita Fernández de la Varga, Pedro Amor Martín, Marta Álvarez Posadilla, Ángel Cano Abascal, Adrián Huergo Fernández,

Abstract
We report the case of a 67-year-old male with a history of arterial hypertension and atrial fibrillation, who was admitted for acute renal failure (creatinine: 4.41 mg/dl) and hypotension. He also presented hyponatremia (129 mmol/L) and hypokalemia (2.7 mmol/L). The patient referred profuse diarrhea during the previous two months as a possible triggering cause. Physical examination showed signs of dehydration and palpation of a polypoid mass in the rectal ampulla.
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References
1. McKittrick LS, Wheelock FC. Carcinoma of the colon. 1954. Dis Colon Rectum. 1997 Dec;40(12):1494-5; discussion 1495-6. doi: 10.1007/BF02070718. PMID: 9407991.
2. López-Fernández J, Fernández-San Millán D, Navarro-Sánchez A, Hernández Hernández JR. McKittrick-Wheelock syndrome: A rare cause of metabolic coma. Gastroenterol Hepatol. 2017 May;40(5):349-351. English, Spanish. doi: 10.1016/j.gastrohep.2016.04.002. Epub 2016 May 13. PMID: 27184554.
3. Fernández-López F, Paredes-Cotore JP. McKittrick-Wheelock syndrome - Prolapsed giant villous adenoma of the rectum. Rev Esp Enferm Dig. 2013 May-Jun;105(5):309-10. doi: 10.4321/s1130-01082013000500017. PMID: 23971670.
4. Valentí V, Hernández-Lizoáin JL, Gil A, Cervera M, Pastor C, Poveda I, Moncada R, Cienfuegos JA. Adenoma velloso hipersecretor de recto. Diagnóstico y tratamiento [Secreting villous adenoma. Diagnosis and treatment]. Rev Esp Enferm Dig. 2005 Mar;97(3):215-6. Spanish. doi: 10.4321/s1130-01082005000300012. PMID: 15942989
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Citation tools
Ordieres Díaz C, Pérez Valle I, Fernández de la Varga M, Amor Martín P, Álvarez Posadilla M, Cano Abascal Á, et all. McKittrick-Wheelock syndrome: rectal villous adenoma as a cause of acute renal failure. 8518/2021


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Publication history

Received: 13/12/2021

Accepted: 20/12/2021

Online First: 17/01/2022

Published: 07/04/2022

Article Online First time: 35 days

Article editing time: 115 days


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