GIANT RECTAL ADENOMAS PRESENTING WITH MCKITTRICK-WHEELOCK SYNDROME. SERIES OF THREE CASES SUCCESSFULLY TREATED BY ENDOSCOPIC SUBMUCOSAL DISSECTION AT A TERTIARY REFERRAL CENTER

Three patients with chronic diarrhea and severe blood tests abnormalities underwent an endoscopic examination that revealed three giant (>10cm) tubulovillous adenomas in the rectum. This clinical presentation was consistent with a McKittrick-Wheelock syndrome (MWS). Surgical treatment is the first line option in most reported series. For these cases, ESD was planned and successfully performed without significant complications. En-bloc resection was achieved in 100% cases. After 12 months of follow-up no recurrence was noted. Symptoms and blood tests abnormalities completely disappeared after the endoscopic treatment was performed. ESD can be considered as a very effective treatment option for MWS.

Publication History

Article published online:
14 April 2022