Work

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

Year: 2024

Type: article

Abstract: BACKGROUND: 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. CASE PRESENTATION: 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. CONCLUSION: 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.

Source: Journal of Medical Case Reports

DOI: 10.1186/s13256-024-04701-1

Authors: Mansoor Ahmed, Murad Habib, Huma Memon, Rafee Raza Ahmad, Muhammad Amjad Chaudhary

Institutions: Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad, Pakistan Institute of Medical Sciences

Language: English

Topic: Gastrointestinal disorders and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,790