Baltazar Gerard, Sahyoun Cyril, Sime Jacklin, Bitar Marlon, Bitar Jerry, Rao A C
Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, NY, United States.
Int J Surg Case Rep. 2012;3(1):22-4. doi: 10.1016/j.ijscr.2011.09.006. Epub 2011 Oct 25.
A rarely reported entity, Waugh's syndrome is the association between intestinal malrotation and intussusception. We present a case of Waugh's syndrome encountered during a medical mission to a resource poor country.
A 3-month-old female presented with septic shock and acute bowel obstruction secondary to intussusception and malrotation. She required aggressive resuscitation and emergent laparotomy, bowel resection, Ladd procedure and temporary ileostomy.
First described in 1911, Waugh's syndrome has been rarely reported in the literature. We summarize a total of 54 cases of Waugh's syndrome that are reported in the literature to date. The complicated but successful care of this patient reflects the severe outcome of any inadequate treatment of Waugh's syndrome and illustrates the importance of medical volunteers in developing countries.
As the relationship between malrotation and intussusception may be more frequent than recorded, surgeons must be aware that non-operative management of intussusception may be inadequate therapy.
沃氏综合征是一种罕见报道的疾病，是肠旋转不良与肠套叠的关联。我们报告在一次前往资源匮乏国家的医疗任务中遇到的一例沃氏综合征病例。
一名3个月大的女性因肠套叠和旋转不良继发感染性休克和急性肠梗阻。她需要积极复苏并紧急进行剖腹手术、肠切除、拉德手术和临时回肠造口术。
沃氏综合征于1911年首次被描述，在文献中鲜有报道。我们总结了迄今为止文献中报道的总共54例沃氏综合征病例。对该患者复杂但成功的治疗反映了沃氏综合征任何治疗不足的严重后果，并说明了医疗志愿者在发展中国家的重要性。
由于旋转不良与肠套叠之间的关系可能比记录的更为常见，外科医生必须意识到非手术治疗肠套叠可能是不充分的治疗方法。
