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Presentations of Waugh's syndrome:intra-luminal cecal cyst and trans-anal prolapsing intussusception: a case report

Mansoor Ahmed1, Murad Habib2, Huma Memon3

  • 1Department of Paediatric Surgery, The Children's Hospital, Pakistan Institute of Medical Sciences, Islamabad/Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, 44000, Pakistan. mansoorahmed1993@live.com.

Journal of Medical Case Reports
|August 18, 2024
PubMed

Insights

Waugh's syndrome, a rare condition combining intussusception and intestinal malrotation, is a pediatric surgical emergency. Early surgical exploration is crucial for managing this congenital anomaly.

Area of Science:

  • Pediatric Surgery
  • Congenital Anomalies

Background:

  • Waugh's syndrome is a rare congenital anomaly defined as intussusception with intestinal malrotation.
  • It has an incidence of less than 1% with few reported cases.

Observation:

  • Two cases of Waugh's syndrome are presented: an 11-month-old male and a 4-month-old female.
  • Both presented with abdominal pain and bleeding per rectum, with sonography showing intussusception and a target sign.

Findings:

  • Perioperative findings confirmed intestinal malrotation alongside intussusception, establishing the diagnosis of Waugh's syndrome.
  • Surgical intervention included right hemicolectomy and Ladd's procedure.

Implications:

  • Waugh syndrome, though rare, presents as a pediatric surgical emergency requiring prompt recognition.
  • Management involves patient optimization followed by surgical exploration to address the congenital anomaly.
Abstract

Keywords:
IntussusceptionPediatricWaugh syndrome

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