Tripathy Prasanta Kumar, Jena Pradeep Kumar
Assistant Professor, Department of Pediatric Surgery, SVP Post Graduate Institute of Pediatrics , Cuttack, Odisha, India .
Professor, Department of Pediatric Surgery, SVP Post Graduate Institute of Pediatrics , Cuttack, Odisha, India .
J Clin Diagn Res. 2016 Dec;10(12):PD09-PD10. doi: 10.7860/JCDR/2016/22049.9068. Epub 2016 Dec 1.
Intestinal obstruction in children is frequently caused by intussusception and intestinal malrotation and when these two conditions co-exist, it is called Waugh's syndrome. Intussusception cases in children are mostly ileocolic, whereas, the colocolic variety is a rare entity and very few cases have been reported in literature. In all the reported cases of Waugh's syndrome, the intussusceptions were ileocolic type except one case, where colocolic type was mentioned with lymphangoima as Pathological Lead Point (PLP). We report a seven-year-old child of colocolic intussusception with juvenile polyp being the PLP along with intestional malrotation. It is an extremely rare association which has not been reported previously.
小儿肠梗阻常由肠套叠和肠旋转不良引起,当这两种情况并存时,称为沃氏综合征。小儿肠套叠病例大多为回结肠型,而结肠结肠型则较为罕见,文献报道的病例很少。在所有已报道的沃氏综合征病例中,除1例提及以淋巴管瘤为病理引导点(PLP)的结肠结肠型外,肠套叠均为回结肠型。我们报告1例7岁儿童,以幼年息肉为PLP的结肠结肠型肠套叠合并肠旋转不良。这是一种极为罕见的关联,此前未见报道。