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[Is intestinal malrotation the cause of intussusception? Waugh's syndrome, a case report]
Manuel Gil-Vargas1, Ana Karen Sol-Meléndez1, Mariana Lee Miguel-Sardaneta1
1Departamento de Cirugía Pediátrica, Hospital General de Puebla Zona Sur «Eduardo Vázquez Navarro», Puebla, Puebla, México.
Insights
Waugh's syndrome, a rare combination of intussusception and intestinal malrotation, requires prompt diagnosis. This case highlights successful treatment of this uncommon pediatric surgical emergency.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Motility Disorders
Background:
- Waugh's syndrome is a rare condition combining intussusception and intestinal malrotation.
- First described in 1911, very few cases have been reported globally.
Observation:
- A 7-month-old infant presented with fever, vomiting, and rectal bleeding.
- Physical examination revealed abdominal distension and a palpable abdominal mass.
Findings:
- Exploratory laparotomy confirmed a diagnosis of intussusception with intestinal malrotation.
- The condition was successfully treated surgically.
Implications:
- This rare combination may be underdiagnosed due to its infrequent occurrence.
- Increased awareness and diagnostic vigilance are crucial for timely intervention in pediatric surgical emergencies.
Background:
Waugh's syndrome is the combination of intussusception and intestinal malrotation. The first case was described in 1911, with few cases being reported since then.
Clinical Case:
A 7 month-old infant with fever, vomiting and rectal bleeding. Distension and an abdominal mass was found on examination. An exploratory laparotomy was preformed that found a combination of intussusception and intestinal malrotation, which was treated succesfully.
Conclusion:
We consider that this combination is not sufficiently diagnosed very often, leading to its disappearance.
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