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2018, Number 4

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Revista Cubana de Cirugía 2018; 57 (4)

Association of invagination and intestinal malrotation with Waugh’s síndrome

González TJ, Flores SLO, Esparza GA, Ponce EAN, Muñoz MGE
Full text How to cite this article

Language: Spanish
References: 7
Page: 120-124
PDF size: 242.07 Kb.


Key words:

malrotation, surgery, pediatric.

ABSTRACT

Waugh’s syndrome is a neonatal pathology characterized by the association of intestinal malrotation and intussusception. There is a low number of cases documented in literature, which implies low incidence. Here is a 4 months-old female neonate who was surgically treated because of intestinal occlusion, and her postoperative recovery was favorable. The objective was to present a Waugh’s syndrome case in a newborn in which high diagnostic suspicion is important, supported by complementary imaging studies when we face abdominal pain in neonates whose diagnostic resolution is always a challenge to the physician. These actions may show an increase in the incidence of this syndrome in the future; it is also possible that the management of this disease be optimized. Hydrostatic disinvagination was performed three times in this patient before undergoing exploratory laparotomy for final correction of her pathology. The association of invagination and intestinal malrotation is poorly diagnosed at present, due to current conservative tendencies. However, it is important to perform more imaging studies before adopting any therapeutic strategy to avoid delays in the definitive surgical management of this disease.


REFERENCES

  1. Gil M, Sol A, Lee M, Sardaneta M. ¿Es la malrotación intestinal el agente causal de la invaginación intestinal? Síndrome de Waugh, reporte de un caso. Cir y cir. 2016[recuperado 26 de septiembre de 2018];84:250-2. Disponible en: https://www.sciencedirect.com/science/article/pii/S2444050716300079

  2. Domínguez S, Baeza C, Jaimes G, Martínez M, González T. Síndrome de Waugh. Primeros informes en México. Acta Pediatr Mex. 2008[recuperado 26 de septiembre de 2018];29:355-8. Disponible en: http://www.redalyc.org/pdf/4236/423640314009.pdf

  3. Al-Jahdali A, Lees G, Paton D, Al-Sairafi R. Colocolic intussusception in a preterm infant with intestinal malrotation. Journal of Pediatric Surgery. 2009[recuperado 26 de septiembre de 2018];(44):E17-E18. Disponible en: https://www.sciencedirect.com/science/article/pii/S0022346809007246

  4. Saxena R, Puri A, Pinnamaneni R. Waugh Syndrome. Pediatric and Neonatology. 2015[recuperado 26 de septiembre de 2018];56:203-4. Disponible en: https://www.researchgate.net/publication/272398927_Waugh_Syndrome_in_Preterm_Infant_Diagnostic_Clues

  5. Baltazar G, Sahyoun C, Sime J, Bitar M, Bitar J, Rao A. Discovery of a case of Waugh's syndrome during a mission to Haiti. International Journal of Surgery Case Reports. 2011[recuperado 26 de septiembre de 2018];3:22-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3267255/

  6. Chaudhary P, Rao M, Arora M. Waugh's syndrome in an adult: report of a very rare disease. Clinics and Practice. 2012[recuperado 26 de septiembre de 2018];2:78. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3981322/

  7. Rangel J, Bocanegra I, Morales H, Martínez G, Montes F, Garza U. Síndrome de Waugh. Reporte de un caso. Medicina Universitaria. 2007[recuperado 26 de septiembre de 2018];36:141-3. Disponible en: http://www.medigraphic.com/pdfs/meduni/mu-2007/mu073h.pdf




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Revista Cubana de Cirugía. 2018;57