This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (25)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

PAUL RABINOWITZ, M.D.; MORTON FARBER, M.D.; ISAAC S. FRIEDMAN, M.D.

Arch Intern Med. 1962;109(3):265-269.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Although villous adenomas make up as much as 2% of rectal neoplasms,¹ there have been but few reports of electrolyte and water depletion which have been associated with these tumors.^2-7 This depletion may be of such severity as to cause marked dehydration with anuria, acidosis, sodium, potassium, and chloride loss. The case to be presented here showed these abnormalities. In addition, there were temporary changes in carbohydrate metabolism; electrocardiographic signs of both acute and chronic potassium depletion, as well as intestinal sequestration of fluid in the presence of severe dehydration.

The patient is a 51-year-old female who had 4-5 soft bowel movements daily for 10 years. Intermittently she had episodes of profuse diarrhea accompanied by copious amounts of mucus discharge. An exacerbation of this type developed and persisted for 3 months, resulting in her hospitalization. The mucus discharge was now continuous. She developed extreme fatigability, marked weakness, and . . . [Full Text PDF of this Article]

Author Affiliations
BROOKLYN

From the Fluid Balance-Anuria Unit of the Department of Medicine and from the Department of Surgery of the Jewish Hospital of Brooklyn.

Footnotes
Submitted for publication Nov. 17, 1960.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?