Abstract
BackgroundMobile caecum along with malfixed small bowel mesentery in malrotation is incriminated to cause intussusception in children. This dual association is very rare and is labeled as Waugh’s syndrome. This is often missed during conservative management of intussusception and may manifest as chronic intussusception.Case presentationWe report a rare case of intestinal malrotation in a 13-year-old boy who presented as recurrent intussusception. The child was resuscitated and was operated, where malrotation of gut was detected. We discuss the clinical presentation, radiological findings, and management of this rare association in light of current available literature.ConclusionThe presence of mobile caecum and redundant bowel loops with narrow mesentery in case of malrotation is an important factor leading to intussusception.
Highlights
Mobile caecum along with malfixed small bowel mesentery in malrotation is incriminated to cause intussusception in children
The presence of mobile caecum and redundant bowel loops with narrow mesentery in case of malrotation is an important factor leading to intussusception
Acute intussusception is a common surgical emergency in children. It is the telescoping of one part of the bowel into another part next to it. They usually present as small bowel obstruction with colicky abdominal pain, vomiting, abdominal distension, and bloody stool
Summary
Acute intussusception is a common surgical emergency in children. It is the telescoping of one part of the bowel into another part next to it. They usually present as small bowel obstruction with colicky abdominal pain, vomiting, abdominal distension, and bloody stool Sometimes, it may be transient or may reduce spontaneously. Chronic intussusception is a distinct clinical entity of non-strangulating and incompletely obstructing intussusception that is poorly recognized and rarely described It is characterized by intermittent attacks of abdominal pain lasting more than 14 days with or without other symptoms of acute intussusception [3]. He had a history of multiple episodes of abdominal pain during last 6 months which subsided with medications During one such episode, he was diagnosed of having ileo-colic intussusception by ultrasonography elsewhere; which reduced spontaneously day without any active intervention as confirmed by ultrasonography. He had gained weight and doing well during follow-up
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