Ciortescu Irina, Drug Vasile-Liviu, Bărboi Oana-Bogdana, Pleșca Denis, Livadariu Roxana, Ionescu Lidia
Medical I Department, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Institute of Gastroenterology and Hepatology, Saint Spiridon Hospital, 700111 Iasi, Romania.
Diagnostics (Basel). 2022 Mar 23;12(4):784. doi: 10.3390/diagnostics12040784.
We present the case of a 71-year-old male who suffered an episode of acute renal failure caused by the uncommon association of two different diseases ( infection and McKittrick-Wheelock syndrome). He presented with hypovolemic shock, severe hypokalemia, hyponatremia, metabolic acidosis and acute renal failure; consequences of secretory diarrhea caused by a giant rectal tumor revealed from colonoscopy. The biopsy results revealed tubulo-villous adenoma with low/high grade dysplasia. After correction of electrolyte imbalances and azotemia, the patient underwent surgical resection with full subsequent recovery. In the literature review, including papers published from which January 1945 to April 2021, we found only one case-report of acute renal failure associated with infection and McKittrick-Wheelock syndrome.
我们报告了一例71岁男性患者,其因两种不同疾病(感染和麦基特里克-惠洛克综合征)罕见关联引发急性肾衰竭。他表现为低血容量性休克、严重低钾血症、低钠血症、代谢性酸中毒及急性肾衰竭,这些都是结肠镜检查发现的巨大直肠肿瘤所致分泌性腹泻的后果。活检结果显示为伴低/高级别发育异常的管状绒毛状腺瘤。纠正电解质失衡和氮质血症后,患者接受了手术切除,随后完全康复。在文献回顾中,包括1945年1月至2021年4月发表的论文,我们仅发现一例与感染和麦基特里克-惠洛克综合征相关的急性肾衰竭病例报告。