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Waugh's Syndrome
1Kasturba Medical College & Hospital, Manipal, Karnataka, India. plngmh@yahoo.com
Insights
Waugh's Syndrome, the link between malrotation and intussusception, requires clinical vigilance. Early identification during intussusception treatment prevents misdiagnosis of intestinal obstruction as recurrence.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Motility Disorders
Background:
- Intussusception is a common surgical emergency in infants and children.
- Intestinal malrotation is a congenital anomaly of the gastrointestinal tract that can lead to various complications.
Observation:
- This report details a case of Waugh's Syndrome, characterized by the co-occurrence of malrotation and intussusception.
- The syndrome highlights a specific anatomical predisposition that can complicate intussusception management.
Findings:
- Waugh's Syndrome necessitates careful consideration during the treatment of intussusception, whether surgical or hydrostatic.
- Failure to recognize this association can lead to postoperative intestinal obstruction secondary to malrotation.
Implications:
- Clinicians must actively screen for malrotation in cases of intussusception to avoid misdiagnosis.
- Prompt recognition and management of Waugh's Syndrome can prevent complications such as recurrent intussusception or persistent obstruction.
Abstract:
A case of Waugh's Syndrome, association of malrotation and intussusception, is being reported. It is suggested that this possibility must be kept in mind and looked for, when a case of intussusception is being treated either by surgery or by hydrostatic reduction. If not when the child develops intestinal problems like obstruction, secondary to malrotation, in the post operative period, it could be misdiagnosed as recurrent intussusception.
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