title: A case of giant rectal villous tumor with severe fluid-electrolyte imbalance treated by laparoscopic low anterior resection.
abstract: McKittrick-Wheelock syndrome is a disorder caused by fluid and electrolyte hypersecretion from a colorectal tumor. To present the case of a patient with a giant rectal villous tumor with McKittrick-Wheelock syndrome who was successfully treated with laparoscopic surgery. The case of a 59-year-old man who came to the emergency department with syncope, prerenal azotemia, and electrolyte disturbances with a background of chronic diarrhea is reported. His condition was the result of fluid and electrolyte hypersecretion caused by rectal villotubular adenomas. Laparoscopic low anterior resection and subsequent volume and electrolyte replacement therapy resulted in complete recovery. A microscopic examination revealed multiple, well-differentiated adenocarcinomas arising in villotubular adenomas. Laparoscopic surgical resection is a feasible therapeutic modality for McKittrick-Wheelock syndrome.
authors.affiliation: Colorectal Cancer Center, Kyungpook National University Medical Center, Kyungpook National University School of Medicine, Daegu, Korea.
authors.forename: Won Ho
authors.initials: WH
authors.lastname: Choi
authors.forename: Jongpil
authors.initials: J
authors.lastname: Ryuk
authors.forename: Hye Jin
authors.initials: HJ
authors.lastname: Kim
authors.forename: Soo Yeun
authors.initials: SY
authors.lastname: Park
authors.forename: Jun Seok
authors.initials: JS
authors.lastname: Park
authors.forename: Jong Gwang
authors.initials: JG
authors.lastname: Kim
authors.forename: Gyu-Seog
authors.initials: GS
authors.lastname: Choi