[McKittrick and Wheelock syndrome. Clinical case].
A 78 years old male patient with diarrhea, hyponatremia and hypokalemia caused by a gigantic rectal villous adenoma is presented. A Chagas megacolon was also found. The patient was operated, finding an vast soft polypoid lesion that occupied all the rectum and inferior sigmoid colon, a megarectum and megasigmoid. A very low rectosigmoidectomy with closure of the rectal stump and colostomy (Hartmann procedure) was performed. Postoperative evolution was good except for the formation of a pelvic abscess that drained spontaneously through the anus. The patient is asymptomatic after 3 years follow up.
Suárez
J
J
Servicio de Cirugla, Hospital G Fricke, Facultad de Medicina, Universidad de Valparaiso, Viña del Mar, Chile.
D018253:Adenoma, Villous / Q000150:complications / Q000473:pathology*; D000368:Aged; D001706:Biopsy; D014355:Chagas Disease / Q000150:complications; D003967:Diarrhea / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D007008:Hypokalemia / Q000209:etiology; D007010:Hyponatremia / Q000209:etiology; D008297:Male; D012004:Rectal Neoplasms / Q000150:complications / Q000473:pathology*; D012811:Sigmoid Neoplasms / Q000150:complications / Q000473:pathology*
Síndrome de McKittrick y Wheelock. Caso clínico.