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© Clujul Medical, 2019
Affiliations
Emil Ioan Mois
University of Medicine and Pharmacy “Iuliu Hatieganu” - E. Isac street 13, 400162, Cluj-Napoca, Romania
Regional Institute of Gastroenterology and Hepatology “Prof. O. Fodor”, Surgery Department, Croitorilor street 19-21, 400023, Cluj-Napoca, Romania
Florin Graur
University of Medicine and Pharmacy “Iuliu Hatieganu” - E. Isac street 13, 400162, Cluj-Napoca, Romania
Regional Institute of Gastroenterology and Hepatology “Prof. O. Fodor”, Surgery Department, Croitorilor street 19-21, 400023, Cluj-Napoca, Romania
Roxana Sechel
Regional Institute of Gastroenterology and Hepatology “Prof. O. Fodor”, Surgery Department, Croitorilor street 19-21, 400023, Cluj-Napoca, Romania
Nadim Al-Hajjar
University of Medicine and Pharmacy “Iuliu Hatieganu” - E. Isac street 13, 400162, Cluj-Napoca, Romania
Regional Institute of Gastroenterology and Hepatology “Prof. O. Fodor”, Surgery Department, Croitorilor street 19-21, 400023, Cluj-Napoca, Romania
How to Cite
Mckittrick-Wheelock syndrome: A rare case report of acute renal failure
Abstract
Giant tubular-villous adenoma of the rectum can determine secretory diarrhea, associated with a depleting syndrome of prerenal acute renal failure, hyponatremia, hypokalemia and hypoproteinemia. These symptoms are known as the McKittrick-Wheelock syndrome, and there are about 50 cases reported in literature. We present the case of a 59-year-old woman presented to our emergency department with abdominal pain, prerenal azotemia, and electrolyte disturbances with a background of chronic diarrhea, caused by a giant rectal tumor. Conservative therapy initially improved and normalized renal function, and made surgical resection of the tumor possible.