Vercauteren C, Pattyn P
Faculty of Medicine and Health Sciences, Ghent University, Belgium.
Acta Chir Belg. 2012 May-Jun;112(3):226-8.
A case of acute renal failure because of chronic watery diarrhoea is presented. The cause is a secretory villous adenoma. The triad chronic diarrhoea, electrolyte disturbance and prerenal renal failure due to a villous adenoma, known as the McKittrick-Wheelock syndrome is a rare entity. The patient can evolve to acute renal failure, shock and death. Initially, the patient is medically treated to restore the fluid and electrolyte balance, but the surgical removal of the polyp is necessary to obtain a definite recovery.
本文报告一例因慢性水样腹泻导致的急性肾衰竭病例。病因是分泌性绒毛状腺瘤。由绒毛状腺瘤引起的慢性腹泻、电解质紊乱和肾前性肾衰竭三联征,即所谓的麦基特里克 - 惠洛克综合征是一种罕见病症。患者可能会发展为急性肾衰竭、休克甚至死亡。最初,对患者进行药物治疗以恢复液体和电解质平衡,但为了实现确切康复,手术切除息肉是必要的。