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Colocolic intussusception in a preterm infant with intestinal malrotation
Akram Al-Jahdali1, Gordon M Lees, Daimian Paton Gay
1Department of Surgery, University of Alberta Hospital, Edmonton, Alberta, Canada T6R 0B5. akrama@ualberta.ca
Journal of Pediatric Surgery
|December 17, 2009
Summary
Waugh syndrome, the association of intussusception and intestinal malrotation, is uncommon. This case report details a rare neonatal instance of colocolic intussusception with malrotation, featuring an intestinal lymphangioma as the lead point.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Developmental Biology
Background:
- Intussusception is a significant cause of bowel obstruction in children.
- Intestinal malrotation is a congenital anomaly that can predispose to various gastrointestinal complications.
- Waugh syndrome describes the co-occurrence of intussusception and intestinal malrotation.
Observation:
- This report presents a rare case of colocolic intussusception in a neonate.
- The neonate was diagnosed with a malrotated intestine.
- The identified lead point for the intussusception was an intestinal lymphangioma.
Findings:
- A prospective study indicated a 40% incidence of malrotation in children with intussusception.
- This case represents the first reported instance of neonatal colocolic intussusception with malrotation where a lymphangioma was the lead point.
- The combination of these conditions in the neonatal period is exceptionally rare.
Implications:
- This case highlights the importance of considering intestinal malrotation in neonates presenting with intussusception, even with unusual presentations.
- The identification of an intestinal lymphangioma as a lead point expands the differential diagnosis for intussusception in this age group.
- Further investigation into the embryological factors linking malrotation and specific lead points like lymphangiomas may be warranted.
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