Giant villous adenoma presenting as McKittrick-Wheelock syndrome and pseudo-obstruction.

Med J Aust · 2010

case_report · Level V

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Abstract

McKittrick-Wheelock syndrome is a rare but recognised complication of hypersecretory rectosigmoid villous adenoma. Fluid and electrolyte imbalances require close monitoring because of large-volume losses of water, sodium and potassium. We report an unusual presentation of the syndrome associated with the development of acute pseudo-obstruction of the colon, presumably due to electrolyte dysfunction and acute renal failure.