Evidence map›Paper›PMID 41113672›Full record

ArticleCase reports in surgery2025

Surgical Treatment of a Severe Electrolyte Imbalance: A Case Report of an Elderly Patient With McKittrick-Wheelock Syndrome.

Piotr Roman Więckowski, Joanna Matylda Łysak, Jakub Blicharz, Maciej Dudziński, Piotr Sienkiewicz

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In one paragraph

Article in Case reports in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Piotr Roman WięckowskiDepartment of Surgery and Vascular Surgery, John Paul II's Mazovian Provincial Hospital in Siedlce, Siedlce, Mazowieckie, Poland.ORCID https://orcid.org/0009-0004-6622-1401
Joanna Matylda ŁysakDepartment of Surgery and Vascular Surgery, John Paul II's Mazovian Provincial Hospital in Siedlce, Siedlce, Mazowieckie, Poland.ORCID https://orcid.org/0009-0001-4206-362X
Jakub BlicharzDepartment of Surgery and Vascular Surgery, John Paul II's Mazovian Provincial Hospital in Siedlce, Siedlce, Mazowieckie, Poland.ORCID https://orcid.org/0009-0007-2069-1047
Maciej DudzińskiDepartment of Surgery and Vascular Surgery, John Paul II's Mazovian Provincial Hospital in Siedlce, Siedlce, Mazowieckie, Poland.ORCID https://orcid.org/0009-0001-5059-0403
Piotr SienkiewiczDepartment of Surgery and Vascular Surgery, John Paul II's Mazovian Provincial Hospital in Siedlce, Siedlce, Mazowieckie, Poland.ORCID https://orcid.org/0009-0001-1971-1369

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

McKittrick-Wheelock is a rare syndrome characterized by a severe, difficult to correct electrolyte imbalance, chronic mucus diarrhea, and a large rectal polyp. In this case report, we describe an elderly patient diagnosed with a large nonmalignant rectal polyp during a routine colonoscopy 10 years prior to admission. For years, the patient has suffered from diarrhea, causing episodic life-threatening hypokalemia and hyponatremia with several unsuccessful attempts at endoscopic polyp removal. Due to symptomatic cholelithiasis, the patient was transferred to the surgical ward and diagnosed with McKittrick-Wheelock syndrome. The patient had undergone cholecystectomy and, after a period of preoperative preparation, underwent an abdominoperineal resection of the rectum. Histopathologic evaluation revealed a low-grade (G1) rectal carcinoma. This case report highlights the importance of a careful assessment of patients with electrolyte level disturbances, with some, albeit very rarely, requiring surgical intervention.

Identifiers

PMID41113672
PMCPMC12534158

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