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Journal of Case Reports
Association of Waugh Syndrome with Intestinal Volvulus in an Infant

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Ivonete Siviero1, Ivens Baker Méio1, Danielle Nunes Forny2, Marcos Antonio Turcatel2, André Lima da Cunha2, Betina Carla Bertrand Simões2
1Division of Pediatric Surgery, Department of Surgery, Medical School of Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; 2Division of Pediatric Surgery, Instituto de Pediatria e Puericultura Martagão Gesteira, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Corresponding Author:
Dr. Ivonete Siviero
Email: ivonetesiviero@ufrj.br
Received: 14-OCT-2016 Accepted: 28-MAR-2017 Published Online: 20-APR-2017
DOI: http://dx.doi.org/10.17659/01.2017.0042
Abstract
Background: The association of intestinal malrotation and intussusception is known as Waugh’s syndrome. We report a case of a 3-month-old infant with this syndrome and volvulus of the intussuscepted intestinal segment.  Case Report: A three day old infant with failure to thrive presented with acute intestinal hemorrhage. Tubular mass on abdomen examination, gasless rectal ampulla on X-ray, and intussusception on ultrasound was suggestive of intestinal obstruction. Laparotomy showed ileo-colic intussusception, volvulus of intussuscepted segment, and intestinal malrotation. Conclusion: We emphasize the early diagnosis and urgent operative treatment to avoid vascular compromise of the midgut.
Keywords : Infant, Intestinal Volvulus, Intussusception, Syndrome.
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