Choi Won Ho, Ryuk Jongpil, Kim Hye Jin, Park Soo Yeun, Park Jun Seok, Kim Jong Gwang, Choi Gyu-Seog
Colorectal Cancer Center, Kyungpook National University Medical Center, Kyungpook National University School of Medicine, Daegu, Korea.
J Korean Surg Soc. 2012 May;82(5):325-9. doi: 10.4174/jkss.2012.82.5.325. Epub 2012 Apr 26.
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.
麦基特里克 - 惠洛克综合征是一种由结直肠肿瘤分泌过多液体和电解质引起的疾病。本文介绍了一例患有巨大直肠绒毛状肿瘤并伴有麦基特里克 - 惠洛克综合征的患者，该患者通过腹腔镜手术成功治愈。报告了一名59岁男性患者的病例，该患者因慢性腹泻前来急诊科就诊，伴有晕厥、肾前性氮质血症和电解质紊乱。他的病情是由直肠绒毛管状腺瘤导致的液体和电解质分泌过多引起的。腹腔镜低位前切除术及随后的容量和电解质替代治疗使患者完全康复。显微镜检查显示，绒毛管状腺瘤中出现多个高分化腺癌。腹腔镜手术切除是治疗麦基特里克 - 惠洛克综合征的一种可行治疗方式。
