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Khirurgiia (Mosk) ; (3): 76-82, 2024.
Article in Russian | MEDLINE | ID: mdl-38477247

ABSTRACT

McKittrick-Wheelock syndrome is a rare disease when villous adenoma of the distal colon predisposes to profuse watery diarrhea with subsequent severe electrolyte disturbances and acute renal damage. A differentiated approach to correct diagnosis requires in-depth pathophysiological knowledge of regulation of water-electrolyte metabolism, functional and organic disorders of gastrointestinal tract and clinical manifestations of hypoosmolar dehydration. The peculiarity of the McKittrick-Wheelock syndrome is a 100% probability of death without treatment and complete regression of symptoms under complex correction of homeostasis and total resection of tumor. We demonstrate the main clinical trends of the McKittrick-Wheelock syndrome. This report may be useful for general practitioners, gastroenterologists, oncologists, nephrologists and anesthesiologists.


Subject(s)
Adenoma, Villous , Rectal Neoplasms , Water-Electrolyte Imbalance , Humans , Rectum/surgery , Adenoma, Villous/diagnosis , Adenoma, Villous/pathology , Adenoma, Villous/surgery , Rectal Neoplasms/surgery , Water-Electrolyte Imbalance/therapy , Electrolytes
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