Is intestinal malrotation the cause of intussusception? Waugh's syndrome, a case report

Gil-Vargas, Manuel; Sol-Meléndez, Ana Karen; Miguel-Sardaneta, Mariana Lee

doi:10.1016/j.circen.2016.04.001

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Mechanical factors have been suggested that influence the tension or pressure on mesenteric blood vessels including abnormalities of intestinal fixation [ 39 - 41 ]. The assertion by Brereton [ 42 ], Gil-Vargas [ 40 ] and others [ 43 ] that an excessively long, loose mesentery may be an etiological factor for intussusception is plausible. It may also protect the bowel from the development of gangrene.…”

Section: Discussionmentioning

confidence: 99%

Delays in presentation of intussusception and development of gangrene in Zimbabwe

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Delays in presentation of intussusception and development of gangrene in Zimbabwe

et al. 2021

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“…Even though it is unclear if unusual intestinal fixation can act as a lead point for intussusception, the fact that colocolic intussuscetions which are less common in children are frequently seen in this condition could confirm this theory. Some limited reports suggest intestinal malrotation as a cause of intussusception and refer to the association as Waugh's syndrome (13,14) . In our study, from 8 patients with this association, 2 cases had colocolic, and one case had jejenojejenal intussusceptions that are less common in normal population.…”

Section: Discussionmentioning

confidence: 99%

Twenty Years of Experience in Management of Intussusception: Saline Enema Reduction with Ultrasound Guidance

Saied¹,

Badebarin²,

Hasanzadeh³

et al. 2021

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Objective: Intussusception is a common condition involving infants and toddlers in which non-operative management plays an important role. The aim of this study was to present our 20 years of experience of saline enema reduction with ultrasound guide in management of intussusception. Methods: A 20-year retrospective study was performed from January 1999 to December 2018 in Iran, Tabriz Pediatric Hospital. Candidates for inclusion in the study were children from 0 to 14 years old who were diagnosed with intussusception. Treatment option (surgical or saline enema reduction) was recorded along with primary and total success rate of saline enema reduction, early recurrence rate, surgery details and lead points. Results: A total of 1376 patients with intussusception were studied. 112 patients experienced spontaneous reduction, and 1131 patients underwent ultrasonographic guided saline enema reduction. The primary attempt was successful in 76.8% of the patients (874 cases); however, in 8.4% of the patients (74 cases) recurrence was recorded during 48 hours after reduction. 264 patients were referred for second and or third reductions. The overall success rate of enema reduction was 79.9%. The mean age of the children with successful reduction was lower than the failed group (1.27±1.27 versus 1.63±1.05 years old; p=0.001). The success rate was significantly lower in patients with signs of currant jelly stool and palpable mass (p<0.001). 364 patients (26.5%) underwent surgery treatment. Leading points were recognized in 64 patients, and Meckel's diverticulum (63.24%) was the most common pathologic leading point. Conclusion:Ultrasound-guided saline enema reduction is a feasible method and is suggested as an efficient and safe method for non-operative management of intussusception. Its success rate is high and could be increased further by proper case selection and repeated reduction attempts even in recurrent cases.

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“…In conclusion, WS should be kept in mind when managing idiopathic intussusception and in case of additional signs, the clinical workup should include studies to rule out malrotation. 10…”

Section: Discussionmentioning

confidence: 99%

Waugh's Syndrome: Report of Two Children with Intussusception

Khan¹,

Yadav²,

Elkholy

2017

European J Pediatr Surg Rep

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Waugh's syndrome (WS) is the rare association of intussusception and intestinal malrotation. We present two such cases in a 5-month-old infant and a 9-year-old girl. Both patients presented with intussusception and were diagnosed with malrotation during workup and surgical exploration. We conclude that the possibility of intestinal malrotation must be taken into consideration while managing children with intussusception.

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Is intestinal malrotation the cause of intussusception? Waugh's syndrome, a case report

Cited by 3 publications

References 3 publications

Delays in presentation of intussusception and development of gangrene in Zimbabwe

Delays in presentation of intussusception and development of gangrene in Zimbabwe

Twenty Years of Experience in Management of Intussusception: Saline Enema Reduction with Ultrasound Guidance

Waugh's Syndrome: Report of Two Children with Intussusception

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