BACKGROUND: The authors present a @entity1 suffering from @entity751 ( @entity751 ) with a @entity5493 . @entity751 is a @entity395 caused by fluid and electrolyte hypersecretion from a @entity5 . The most frequently reported @entity5 are @entity5493 . Symptoms of @entity2700 with severe @entity2753 , @entity1371 , @entity520 and @entity810 are typical in @entity751 . Several options for operation have been reported, such as a transsacral approach (according to Kraske), transanal endoscopic microsurgery (TEM) or @entity348 ( @entity348 ). In this case we report an alternative surgical approach: in-one-continuity transanal mucosectomy and transabdominal @entity348 with a handsewn @entity694 . CASE: A 54-year-old @entity1 had a history of hospital admissions because of repeated bouts of @entity2700 with electrolyte disorders since 2004. At admission she presented with @entity2629 , @entity2753 and severe @entity1371 in combination with watery stools. At colonoscopy an 8-cm villous @entity652 was seen in the rectum. @entity2700 and electrolyte disturbances were treated by appropriate intravenous fluid administration. An in-one-continuity anal mucosectomy and complete rectal excision were performed and restored by a handmade @entity694 . Postoperative recovery was uneventful. CONCLUSION: @entity751 can be a difficult problem to assess in both gastroenterological and nephrological ways. @entity1 may develop severe complications which require surgical intervention in some cases. In-one-continuity transanal mucosectomy and rectum excision with a handmade @entity694 seemed to be a new and solid surgical therapeutic option in this case.

In-one-continuity rectal excision and anal mucosectomy of a XXXX : an alternative surgical approach.

@entity1 :: ('9606', 'Species') :: ['Patients', 'woman'] @entity5493 :: ('MESH:D018253', 'Disease') :: ['villous adenomas', 'giant rectal villous adenoma'] @entity2700 :: ('MESH:D003681', 'Disease') :: ['Dehydration', 'dehydration'] @entity5 :: ('MESH:D009369', 'Disease') :: ['rectal tumor', 'tumors'] @entity520 :: ('MESH:D000138', 'Disease') :: ['metabolic acidosis'] @entity2629 :: ('MESH:D053099', 'Disease') :: ['prerenal azotemia'] @entity348 :: ('MESH:C535338', 'Disease') :: ['TME', 'total mesorectal excision'] @entity751 :: ('MESH:D013577', 'Disease') :: ['MKWS', 'McKittrick-Wheelock syndrome'] @entity810 :: ('MESH:D058186', 'Disease') :: ['acute renal failure'] @entity395 :: ('MESH:D035583', 'Disease') :: ['rare disorder'] @entity652 :: ('MESH:D000236', 'Disease') :: ['adenoma'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic-anal anastomosis'] @entity1371 :: ('MESH:D007008', 'Disease') :: ['hypokalemia'] @entity2753 :: ('MESH:D007010', 'Disease') :: ['hyponatremia']
@entity5493 :: (MESH:D018253,Disease) :: ['giant villous adenoma']
