Department of Paediatric Surgery, The Children's Hospital, Pakistan Institute of Medical Sciences, Islamabad/Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, 44000, Pakistan.
Department of Paediatric Medicine, The Children's Hospital, Pakistan Institute of Medical Sciences Islamabad/Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, 44000, Pakistan.
J Med Case Rep. 2024 Aug 19;18(1):376. doi: 10.1186/s13256-024-04701-1.
Intussusception with intestinal malrotation is termed as Waugh's syndrome. The incidence of Waugh's syndrome is less than 1%. There are very few reported cases. Once presented, it is a pediatric surgical emergency.
We present here two cases of Waugh's syndrome: an 11-month-old male patient of Punjabi descent and a 4-month-old female patient of Afghan descent who presented to us with abdominal pain and bleeding per rectum. Abdominal sonography revealed an intussusception with a target sign. They were explored and perioperatively had intestinal malrotation alongside intussusception, thus a diagnosis of Waugh's syndrome was made. A right hemicolectomy and Ladd's procedure was performed.
Waugh syndrome is a rare congenital anomaly but can present with vague abdominal symptoms. Once presented, it is a pediatric surgical emergency. The patient should be optimized followed by surgical exploration.
肠旋转不良合并肠套叠被称为沃氏综合征。沃氏综合征的发病率小于 1%，鲜有报道。一旦出现，它是小儿外科急症。
我们在此介绍两例沃氏综合征患儿：一例为 11 月龄的旁遮普男性患儿，一例为 4 月龄的阿富汗裔女性患儿，他们均以腹痛和直肠出血就诊。腹部超声显示为靶环征肠套叠。他们接受了手术探查，术中发现肠旋转不良合并肠套叠，因此诊断为沃氏综合征。行右半结肠切除术和 Ladd 手术。
沃氏综合征是一种罕见的先天性异常，但可表现为不典型的腹部症状。一旦出现，它是小儿外科急症。患者应先进行优化治疗，然后进行手术探查。
