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ABSTRACT
Background
Introduction: Waugh Syndrome is a rare paediatric condition characterised by the simultaneous occurrence of intussusception and intestinal malrotation. Both conditions are known causes of intestinal obstruction in children, but their coexistence poses a unique diagnostic and surgical challenge. The underlying pathophysiology is thought to involve abnormal fixation of the mesentery and defective intestinal rotation during embryogenesis, predisposing patients to intussusception.
Aim and Objectives: This study aims to describe the clinical presentation, diagnostic approach, surgical management, and outcomes of three paediatric patients diagnosed with Waugh Syndrome at our institution. Our objectives include identifying key diagnostic features, assessing the efficacy of surgical interventions, and contributing to the limited literature on this rare condition.
Aim and Objectives: This study aims to describe the clinical presentation, diagnostic approach, surgical management, and outcomes of three paediatric patients diagnosed with Waugh Syndrome at our institution. Our objectives include identifying key diagnostic features, assessing the efficacy of surgical interventions, and contributing to the limited literature on this rare condition.
Method
Methodology: We conducted a retrospective case series review of three patients diagnosed and treated for Waugh Syndrome between July and November 2024. Clinical presentation, laboratory findings, imaging results, surgical intervention details, and postoperative outcomes were analysed.
Result
Results: All three patients presented with symptoms of intestinal obstruction, including bilious vomiting, abdominal distension, and bloody stools. Diagnostic imaging revealed features of intussusception and malrotation. Surgical intervention involved laparotomy with manual reduction of intussusception and Ladd’s procedure. Two patients required intensive care postoperatively, while one was managed in the surgical ward. All patients recovered well and were discharged with outpatient follow-up.
Conclusion
Conclusion: Waugh Syndrome remains a potentially underdiagnosed entity that should be considered in paediatric patients with intussusception. Early recognition and surgical management are crucial to improving outcomes, and further studies are needed to enhance diagnostic accuracy and treatment strategies.