Síndrome de McKittrick-Wheelock: Una causa infrecuente de shock hipovolémico

Villous colorectal adenomas are common tumors that normally provoke scarce symptomatology. We report a 59 ye ar-oíd 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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Bibliographic Details
Main Authors: Mila,Rafael, Grille,Sofía, Laurini,Marcelo, Lapiedra,Diego, Bagattini,Juan Carlos
Format: Digital revista
Language:Spanish / Castilian
Published: Sociedad Médica de Santiago 2008
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000700013
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