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Villous Adenoma of the Colon Associated with Severe Hypopotassemia

Villous Adenoma of the Colon Associated with Severe Hypopotassemia Abstract Introduction A copious mucoid discharge is a frequently mentioned and characteristic symptom of villous adenoma of the colon. The association of this discharge with severe hypopotassemia has not hitherto been noted in the literature. This report concerns such an instance in which potassium balance presented the major problem in management.Villous adenomas of the rectum and colon are uncommon, representing 1.4% to 2.3% of surgically resected neoplasm of this region.* They occur equally in males and females and in an older age group than do adenomatous polyps or carcinoma. They are more likely to be solitary tumors than carcinomas or adenomatous polyps of the large bowel. The overwhelming majority are in the rectum, but cases have been reported from other sites in the colon.†They are characteristically large broadbased growths with innumerable finger-like projections into the lumen. They are soft to the touch and move freely over the underlying muscularis, References 1. References 1 and 9. 2. References 2 and 5. 3. References 7, cited by Burns,3 and Reference 8. 4. References 10 and 11. 5. Bacon, H. E.; Lowell, E. J., and Trimpi, H. D.: Villous Papillomas of the Colon and Rectum: A Study of 28 Cases with End Results of Treatment Over a 5-Year Period , Surgery 35:77-87, 1954. 6. Bensaude, R.; d'Allaines, F., and Martin, J. P.: Degeneration of Villous Tumor of Transverse Colon , Arch. mal. app. digest. 27:113-118, 1937. 7. Burns, F. J.: Papillomas of the Colon and Rectum , Am. J. Surg. 80:97-101, 1950.Crossref 8. Binkley, G. E., and Sunderland, D. A.: Diagnosis and Treatment of Papillary Adenomas of the Rectum , Am. J. Surg. 75:365-368, 1948.Crossref 9. David, V. C.: Papillomata of the Large Bowel , Ann. Surg. 82:109-130, 1925.Crossref 10. Fisher, E. R., and Castro, A. F.: Diffuse Papillomatous Polyps (Villous Tumors) of Colon and Rectum: Pathologic and Clinical Observations , Am. J. Surg. 85:146-151, 1953.Crossref 11. Hayden, E. P.: The Rectum and Colon , Philadelphia, Lea & Febiger, 1939, pp. 321, 353, 354. 12. Helwig, E. B.: The Evolution of Adenomas of the Large Intestine and Their Relation to Carcinoma , Surg., Gynec. & Obst. 84:36-49, 1947. 13. Sunderland, D. A., and Binkley, G. E.: Papillary Adenomas of the Large Intestine: Clinical and Morphological Study of 48 Cases , Cancer 1:184-207, 1948. 14. Randall, H. T.; Habif, D. V.; Lockwood, J. S., and Werner, S. C.: Potassium Deficiency in Surgical Patients , Surgery 26:341-363, 1949. 15. Randall, H. T.: Symposium on Basic Sciences in Surgical Practice: Water and Electrolyte Balance in Surgery , S. Clin. North America 32:445-469, 1952. 16. Welch, C. E.; McKittrick, J. B., and Behringer, G.: Polyps of Rectum and Colon and Their Relation to Cancer , New England J. Med. 247:959-965, 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Villous Adenoma of the Colon Associated with Severe Hypopotassemia

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1956.01280060095022
Publisher site
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Abstract

Abstract Introduction A copious mucoid discharge is a frequently mentioned and characteristic symptom of villous adenoma of the colon. The association of this discharge with severe hypopotassemia has not hitherto been noted in the literature. This report concerns such an instance in which potassium balance presented the major problem in management.Villous adenomas of the rectum and colon are uncommon, representing 1.4% to 2.3% of surgically resected neoplasm of this region.* They occur equally in males and females and in an older age group than do adenomatous polyps or carcinoma. They are more likely to be solitary tumors than carcinomas or adenomatous polyps of the large bowel. The overwhelming majority are in the rectum, but cases have been reported from other sites in the colon.†They are characteristically large broadbased growths with innumerable finger-like projections into the lumen. They are soft to the touch and move freely over the underlying muscularis, References 1. References 1 and 9. 2. References 2 and 5. 3. References 7, cited by Burns,3 and Reference 8. 4. References 10 and 11. 5. Bacon, H. E.; Lowell, E. J., and Trimpi, H. D.: Villous Papillomas of the Colon and Rectum: A Study of 28 Cases with End Results of Treatment Over a 5-Year Period , Surgery 35:77-87, 1954. 6. Bensaude, R.; d'Allaines, F., and Martin, J. P.: Degeneration of Villous Tumor of Transverse Colon , Arch. mal. app. digest. 27:113-118, 1937. 7. Burns, F. J.: Papillomas of the Colon and Rectum , Am. J. Surg. 80:97-101, 1950.Crossref 8. Binkley, G. E., and Sunderland, D. A.: Diagnosis and Treatment of Papillary Adenomas of the Rectum , Am. J. Surg. 75:365-368, 1948.Crossref 9. David, V. C.: Papillomata of the Large Bowel , Ann. Surg. 82:109-130, 1925.Crossref 10. Fisher, E. R., and Castro, A. F.: Diffuse Papillomatous Polyps (Villous Tumors) of Colon and Rectum: Pathologic and Clinical Observations , Am. J. Surg. 85:146-151, 1953.Crossref 11. Hayden, E. P.: The Rectum and Colon , Philadelphia, Lea & Febiger, 1939, pp. 321, 353, 354. 12. Helwig, E. B.: The Evolution of Adenomas of the Large Intestine and Their Relation to Carcinoma , Surg., Gynec. & Obst. 84:36-49, 1947. 13. Sunderland, D. A., and Binkley, G. E.: Papillary Adenomas of the Large Intestine: Clinical and Morphological Study of 48 Cases , Cancer 1:184-207, 1948. 14. Randall, H. T.; Habif, D. V.; Lockwood, J. S., and Werner, S. C.: Potassium Deficiency in Surgical Patients , Surgery 26:341-363, 1949. 15. Randall, H. T.: Symposium on Basic Sciences in Surgical Practice: Water and Electrolyte Balance in Surgery , S. Clin. North America 32:445-469, 1952. 16. Welch, C. E.; McKittrick, J. B., and Behringer, G.: Polyps of Rectum and Colon and Their Relation to Cancer , New England J. Med. 247:959-965, 1952.

Journal

A.M.A. Archives Surgery – American Medical Association

Published: Dec 1, 1956

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