Gandhi Vidhyachandra, Pai Nitin, Kashiva Reema, Mane Dileep
Gastrointestinal Surgery, Noble Hospital & Research Centre, Pune, India.
Gastroenterology, Noble Hospital & Research Centre, Pune, India.
BMJ Case Rep. 2019 Jul 22;12(7):e226398. doi: 10.1136/bcr-2018-226398.
Intestinal malrotation is a congenital anomaly that results from an abnormality in the rotation and fixation of the gut as it returns to the abdominal cavity during development. Intussusception is a condition characterised by telescoping of one segment of the bowel into another segment. The combination of malrotation and intussusception is frequently a cause of intestinal obstruction in the paediatric age group. The coexistence of these two conditions is termed as Waugh syndrome and is uncommon in adults. We share our experience with an elderly woman who was admitted with diarrhoea and anaemia. Investigations revealed a large colonic polyp, colocolic intussusception and malrotation. The adenomatous polyp and mobile right colon would have lead to intussusception. The diagnosis was based on the findings of colonoscopy and contrastenhanced CT scan of the abdomen. She was managed with a transverse colectomy with an uneventful recovery.
肠旋转不良是一种先天性异常，它是由于肠道在发育过程中返回腹腔时旋转和固定异常所致。肠套叠是一种以一段肠管套入另一段肠管为特征的病症。肠旋转不良和肠套叠的组合常常是小儿年龄段肠梗阻的一个原因。这两种病症同时存在被称为沃氏综合征，在成年人中并不常见。我们分享一位老年女性患者的病例，她因腹泻和贫血入院。检查发现一个大的结肠息肉、结肠结肠套叠和肠旋转不良。腺瘤性息肉和可移动的右半结肠会导致肠套叠。诊断基于结肠镜检查结果和腹部增强CT扫描。她接受了横结肠切除术，恢复顺利。
