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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

KRAL, Alejandro  y  VEGA, Jorge. McKrittick-Wheelock syndrome. Report of one case. Rev. méd. Chile [online]. 2017, vol.145, n.7, pp.950-953. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872017000700950.

McKittrick-Wheelock syndrome is caused by chronic water and electrolyte hypersecretion from an intestinal tumor, usually a villous adenoma, located in the rectum or sigmoid. Patients often have dehydration, hypovolemic shock and kidney failure associated with hypokalemia, hyponatremia, hypochloremia and metabolic acidosis. We report a 62-year-old male, suffering chronic diarrhea for eight years who was admitted after a syncope. He had severe hypokalemia, hyponatremia, metabolic acidosis, hypovolemia and acute renal failure. After his metabolic disorders were corrected, a colonoscopy showed a large rectosigmoid tumor with the characteristics of a villous adenoma. During the follow up after the complete tumor resection, the patient has remained asymptomatic.

Palabras clave : Acidosis; Adenoma, Villous; Diarrhea; Hypokalemia; Renal Insufficency.

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