<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272021000400605</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de McKittrick-Wheelock. Informe de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[McKittrick-Wheelock syndrome. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández González]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Clavelo]]></surname>
<given-names><![CDATA[Yulema]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aparicio Sánchez]]></surname>
<given-names><![CDATA[Jorge Abel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>15</volume>
<numero>4</numero>
<fpage>605</fpage>
<lpage>611</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272021000400605&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272021000400605&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272021000400605&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el síndrome de McKittrick-Wheelock es una enfermedad rara a nivel mundial. Se caracteriza por la aparición brusca de adenomas de gran tamaño que prolapsan por el recto o por la presencia de adenomas vellosos rectales que producen diarrea crónica, pérdida de agua y electrólitos, falla renal y sangrado rectal. El tratamiento es principalmente quirúrgico (polipectomía).  Información del paciente:  paciente masculino, con antecedentes patológicos personales de insuficiencia renal crónica y trasplante renal derecho. Ingresó con diagnóstico de diarreas crónicas, durante la estadía hospitalaria, al defecar, sintió que una &#8220;masa&#8221; se prolapsaba a través del ano, acompañada de abundante sangramiento. La &#8220;masa&#8221; no se redujo de forma espontánea y continúo con sangramientos, secreciones abundantes, dolor rectal y diarreas.  Conclusiones:  el síndrome de McKittrick-Wheelock es de extrema rareza pero, por el estado de gravedad al que conduce al paciente, debe ser manejado con prontitud por el personal médico, con una adecuada corrección del medio interno y oportuno tratamiento quirúrgico como única solución.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  McKittrick-Wheelock syndrome is a rare disease worldwide. It is characterized by the sudden appearance of large adenomas that prolapse rectally or by the presence of rectal villous adenomas that produce chronic diarrhea, water and electrolyte loss, renal failure and rectal bleeding. Treatment is mainly surgical (polypectomy).  Patient information:  male patient, with a personal pathological history of chronic renal failure and right renal transplant. He was admitted with a diagnosis of chronic diarrhea, during the hospital stay, when defecating, he felt that a &#8220;mass&#8221; prolapsed through the anus, accompanied by abundant bleeding. The &#8220;mass&#8221; did not reduce spontaneously and she continued with bleeding, abundant secretions, rectal pain and diarrhea.  Conclusions:  McKittrick-Wheelock syndrome is extremely rare but, due to the serious condition to which it leads the patient, it must be promptly managed by the medical staff, with adequate correction of the internal environment and timely surgical treatment as the only solution.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de McKittrick-Wheelock]]></kwd>
<kwd lng="es"><![CDATA[adenomas colorrectales]]></kwd>
<kwd lng="es"><![CDATA[anoplastia]]></kwd>
<kwd lng="es"><![CDATA[hemorroidectomia]]></kwd>
<kwd lng="en"><![CDATA[McKittrick-Wheelock syndrome]]></kwd>
<kwd lng="en"><![CDATA[colorectal adenomas]]></kwd>
<kwd lng="en"><![CDATA[anoplasty]]></kwd>
<kwd lng="en"><![CDATA[hemorrhoidectomy]]></kwd>
</kwd-group>
</article-meta>
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