Villous Rectal Adenoma as a Rare Cause of Acute Renal Failure (McKittrick-Wheelock Syndrome)

Abstract

Fluid and electrolyte hypersecretion in a villous adenoma of the rectum was seen in a 72-year-old male suffering from acute renal failure. The patient was found to have prerenal uremia on admission, and received emergency hemodialysis. He then underwent systemic screenings for other possible diseases because of his severe emaciation. A barium enema examination revealed a large villous lesion of the upper rectum. Operative local excision of the tumor was performed. Renal function was restored after radical tumor surgery. McKittrick-Wheelock syndrome could be managed successfully by acute hemodialysis and early surgical resection of rectal tumor.