Villanueva Maureen Elvira P, Onglao Mark Augustine S, Tampo Mayou Martin T, Lopez Marc Paul J
Division of Colorectal Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Ann Coloproctol. 2022 Jun;38(3):266-270. doi: 10.3393/ac.2020.00745.0106. Epub 2021 Jul 13.
McKittrick-Wheelock syndrome is a rare and life-threatening disease characterized by the triad of (1) chronic mucous diarrhea, (2) renal function impairment with hydroelectrolyte imbalance, and (3) a giant colorectal tumor. Often, the tumor is a rectal adenoma. With the mortality being certain, if left untreated, it is important to raise awareness on the presentation, diagnosis, and management of this disease entity. Here, we presented 3 cases of McKittrick-Wheelock syndrome that were successfully managed with surgical resection at the Philippine General Hospital from August 2018 to May 2019. Resolution of their symptoms, reversal of their renal impairment, and correction of their electrolyte depletion were noted after removal of the tumor with a sphincter-saving operation.
麦基特里克 - 惠洛克综合征是一种罕见且危及生命的疾病,其特征为三联征:(1)慢性黏液性腹泻;(2)伴有水电解质失衡的肾功能损害;(3)巨大的结直肠肿瘤。通常,该肿瘤为直肠腺瘤。若不治疗,死亡率必然很高,因此提高对这种疾病实体的临床表现、诊断和管理的认识很重要。在此,我们报告了2018年8月至2019年5月在菲律宾总医院通过手术切除成功治疗的3例麦基特里克 - 惠洛克综合征病例。在采用保留括约肌手术切除肿瘤后,观察到他们的症状得到缓解,肾功能损害得到逆转,电解质耗竭得到纠正。