A Case of Villous Tumor of the Rectum with Electrolyte Depletion Syndrome

• Ishii K.

  Department of Gastroenterology, Keijyu Medical Center

• Tajima H.

  Department of Gastroenterology, Keijyu Medical Center

• Kanno M.

  Department of Gastroenterology, Keijyu Medical Center

Bibliographic Information

Other Title

• Ｅｌｅｃｔｒｏｌｙｔｅ　ｄｅｐｌｅｔｉｏｎ　ｓｙｎｄｒｏｍｅを呈した直腸絨毛腫瘍の１例

Abstract

We report a case of villous tumor of the rectum with electrolyte depletion syndrome. The patient was a 72-year-old man who complained of diarrhea and vomiting, and was transferred to our institution from a nearby hospital for examination and therapy. On laboratory data at admission, renal dysfunction and dehydration (BUN 80.9mg/dl, Cr 2.6mg/dl, Na 121mEq/l, Cl 87mEq/dl, K 2.1mEq/dl) were found. A colonoscopy revealed a villous tumor with mucus in the rectum and pathological examination of the biopsy specimen revealed well differentiated adenocarcinoma in the villous tumor. After admission, renal dysfunction and electrolyte depletion were improved by saline containing potassium chloride, so we performed abdomino-perineal resection. In the resected specimen, the size of the tumor was 8×14cm, and the histopathological diagnosis was an adenocarcinoma invading mucosa in the tubulo-villous adenoma. After the operation, there have been no recurrences of the dehydration and electrolyte depletion.<br>

Journal

• Nippon Daicho Komonbyo Gakkai Zasshi

  Nippon Daicho Komonbyo Gakkai Zasshi 61 (1), 46-50, 2008

  The Japan Society of Coloproctology

Keywords

• electrolyte depletion syndrome
• 直腸絨毛腫瘍

Details

• CRID: 1390282679830906368
• NII Article ID: 10021302764
• NII Book ID: AN00195100
• DOI: 10.3862/jcoloproctology.61.46
• ISSN: 18829619
• ISSN: 00471801
• Web Site: http://www.jstage.jst.go.jp/article/jcoloproctology/61/1/61_1_46/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2008118571
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed