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Chronic Intussusception Associated with Malrotation in a Child: A Variation of Waugh's Syndrome?
Nick Zavras1, Konstantinos Tsilikas2, George Vaos1
1Department of Paediatric Surgery, "ATTIKON" University General Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Insights
Chronic intussusception, a rare condition in older children, can be linked to intestinal malrotation. This case highlights an unusual association between intestinal malrotation and chronic intussusception, discussing its presentation, imaging, and management.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Chronic intussusception is uncommon, typically seen in older children.
- Waugh's syndrome involves intestinal malrotation and acute intussusception.
- The association between intestinal malrotation and chronic intussusception is exceptionally rare.
Purpose of the Study:
- To report a unique case of chronic intussusception associated with intestinal malrotation.
- To discuss the clinical presentation, radiological findings, and management of this rare condition.
Main Methods:
- Case report presentation.
- Review of clinical findings and radiological imaging.
- Literature review on associated cases.
Main Results:
- An unusual case of chronic intussusception co-occurring with intestinal malrotation was identified.
- The case highlights the complexities in diagnosis and management.
Conclusions:
- Intestinal malrotation can present with chronic intussusception, though rare.
- Comprehensive evaluation including imaging is crucial for diagnosis.
- Management strategies should be tailored to the specific association.
Abstract:
Chronic intussusception is a relatively uncommon disease most commonly observed in older children. Waugh's syndrome represents a rare entity characterized by intestinal malrotation and acute intussusception. We report a very unusual case of intestinal malrotation associated with chronic intussusception. Clinical presentation, radiological findings, and managing of this association are discussed in the light of the available literature.
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