A case of giant rectal villous tumor with severe fluid-electrolyte imbalance treated by laparoscopic low anterior resection.
10.4174/jkss.2012.82.5.325
- Author:
Won Ho CHOI
1
;
Jongpil RYUK
;
Hye Jin KIM
;
Soo Yeun PARK
;
Jun Seok PARK
;
Jong Gwang KIM
;
Gyu Seog CHOI
Author Information
1. Colorectal Cancer Center, Kyungpook National University Medical Center, Kyungpook National University School of Medicine, Daegu, Korea. kyuschoi@mail.knu.ac.kr
- Publication Type:Case Report
- Keywords:
Diarrhea;
Renal insufficiency;
Villous adenoma;
Laparoscopy
- MeSH:
Adenocarcinoma;
Adenoma;
Adenoma, Villous;
Azotemia;
Colorectal Neoplasms;
Diarrhea;
Emergencies;
Humans;
Laparoscopy;
Middle Aged;
Porphyrins;
Renal Insufficiency;
Syncope
- From:Journal of the Korean Surgical Society
2012;82(5):325-329
- CountryRepublic of Korea
- Language:English
-
Abstract:
McKittrick-Wheelock syndrome is a disorder caused by fluid and electrolyte hypersecretion from a colorectal tumor. To present the case of a patient with a giant rectal villous tumor with McKittrick-Wheelock syndrome who was successfully treated with laparoscopic surgery. The case of a 59-year-old man who came to the emergency department with syncope, prerenal azotemia, and electrolyte disturbances with a background of chronic diarrhea is reported. His condition was the result of fluid and electrolyte hypersecretion caused by rectal villotubular adenomas. Laparoscopic low anterior resection and subsequent volume and electrolyte replacement therapy resulted in complete recovery. A microscopic examination revealed multiple, well-differentiated adenocarcinomas arising in villotubular adenomas. Laparoscopic surgical resection is a feasible therapeutic modality for McKittrick-Wheelock syndrome.
