Sonographic diagnosis of adenoma depletion syndrome (McKittrick-Wheelock-Sdr.) as the cause of acute renal failure with profound electrolyte disturbance
KH Seitz, A Grützmann, J Baral · Ultraschall in der Medizin - European Journal of Ultrasound · 2013 · Heft 10
Bibliografische Angaben
Zusammenfassung
A 63-year old female was transferred to our unit because of oliguric acute renal failure, electrolyte disorder (hyponatremia, hypochloremia, hypokalemia) and obtundation. Immediate ultrasound examination showed profound volume depletion and a localized hydrocolon of the sigmoid colon with a smooth vascularized tumor inside. An Immediately performed google-search in the sonographic examination room (“colonic adenoma and acute renal failure”) disclosed a secretory villous adenoma depletion syndrome (McKittrick-Wheelock-Sdr.) as the probable cause of the renal failure, indeed, the patient showed profound watery dia…