Brayan A. Rodríguez, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Roberto J. Rodríguez, Departamento de Cirugía General, Unidad de Coloproctología, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Rafael H. Pino, Unidad de Cirugía Gastrointestinal y Endoscopia, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Luis G. Vargas, Unidad de Cirugía Gastrointestinal y Endoscopia, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Aylinn G. Gonzalez, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
Diana Garavito, Departamento de Cirugía General, Hospital Universitario Departamental Hernando Moncaleano Perdomo, Universidad Surcolombiana, Neiva, Huila, Colombia
McKittrick-Wheelock syndrome is a rare entity characterized by secretory diarrhea secondary to mucus-producing colorectal lesions, associated with potentially severe electrolyte disturbances. We present the case of a patient with severe hydro electrolytic imbalance caused by a rectosigmoid villous adenoma, representing a diagnostic and therapeutic challenge. Initial management was medical, followed by diagnostic confirmation through endoscopy and histopathology, and definitive surgical treatment. This case highlights the importance of recognizing this colorectal emergency and emphasizes the key principles in its diagnosis and management.
Keywords: McKittrick-Wheelock syndrome. Secretory diarrhea. Villous adenoma. Colorectal emergency. Electrolyte imbalance.