Colocolic intussusception in a preterm infant with intestinal malrotation

Aljahdali, Akram; Lees, G.J.; Al-Sairafi, Rani

doi:10.1016/j.jpedsurg.2009.09.011

Cited by 14 publications

(5 citation statements)

References 4 publications

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“…There is scant literature about UGI contrast studies for malrotation in preterm infants. There are few case reports or case series describing malrotation and/or volvulus in preterm and extremely preterm infants . The process of developmental and fixation of fetal gut is ongoing in extremely premature neonates (<28 weeks) .…”

Section: Discussionmentioning

confidence: 99%

Role of upper gastrointestinal contrast studies for suspected malrotation in neonatal population

Birajdar

Rao

Bettenay

2017

J Paediatrics Child Health

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Section: Discussionmentioning

confidence: 99%

Role of upper gastrointestinal contrast studies for suspected malrotation in neonatal population

Birajdar

Rao

Bettenay

2017

J Paediatrics Child Health

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“…The failure rate of nonsurgical reduction is high (40% –100% in Ref. 5 and Ref. 3 , respectively) in patients with Waugh syndrome as seen in 2 patients who had a trial of enema reduction in our cases as well as in others.…”

Section: Discussionmentioning

confidence: 48%

“…In 3 different reports, 3 cases with an age outside the usual range were reported, which included a 28-week preterm and an 8-year-old child as well as a 56-year-old adult patient. 5 – 7 …”

Section: Discussionmentioning

confidence: 99%

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Waugh syndrome: a report of 7 patients and review of the published reports

Al‐Momani

2014

Annals of Saudi Medicine

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BACKGROUND AND OBJECTIVESWaugh syndrome (WS) is the association of intussusception and intestinal malrotation. The association is rarely reported in the literature though intussusception is a commonly encountered problem in pediatric patients as a cause of intestinal obstruction. We present our experience in 7 patients with a review of published reports.DESIGN AND SETTINGRetrospective analysis of 7 patients with the diagnosis of Waugh syndrome who were treated at our department between February 1982 to December 2012.PATIENTS AND METHODSSeven patients with Waugh syndrome presented to our unit during the period February 1982 to December 2012. The clinical findings and management are presented and discussed.RESULTSSeven patients (three males and four females) presented with intussusception in association with malrotation. The age range was from 4 to 11 months; the patients had bilious vomiting and blood in the stool; the diagnosis was confirmed by ultrasound (2), Ba enema (2) and intraoperatively (3). All required operative intervention; either manual reduction or bowel resection and Ladd procedure; one patient died of sepsis; recurrence of obstruction was seen in another patient while the rest did well postoperatively.CONCLUSIONThe relationship between intestinal malrotation and intussusceptions may be more frequent than is reported; failure of non-operative management of intussusception may be due to this association and hence brings the attention to its existence. A prospective study is needed to look for intestinal malrotation in patient with intussusceptions who undergo abdominal sonographic examination to determine the true incidence of this association. The anomaly is suspected by presence of a reversed anatomic relationship of the superior mesenteric artery and vein and in such cases to perform an upper gastrointestinal contrast study to define the exact location of the duodenojejuonal (DJ).

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“…[148] Our case of colocolic intussusception in a preterm baby is very rare. AL-Jahdali et al [9] have reported a colocolic intussusception in a preterm baby associated with malrotation (Waugh syndrome) with an identifiable lead point (intestinal lymphangioma). In our case, there was no malrotation and no lead-point was identified.…”

Section: Discussionmentioning

confidence: 99%

Diagnosing intussusception in preterm neonates: Case report and overview

et al. 2014

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Intussusception is extremely rare in preterm neonates and is often confused with necrotizing enterocolitis leading to considerable delay in its diagnosis. We present a case report of a preterm with colo-colic intussusception, which was diagnosed preoperatively using ultrasound. We examine the pitfalls in diagnosing intussusception in preterm neonates. Intussusception, though rare, should be considered in the differential diagnosis while managing a preterm with abdominal symptomatology. Abdominal ultrasound is useful in diagnosing intussusception in neonates.

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Colocolic intussusception in a preterm infant with intestinal malrotation

Cited by 14 publications

References 4 publications

Role of upper gastrointestinal contrast studies for suspected malrotation in neonatal population

Role of upper gastrointestinal contrast studies for suspected malrotation in neonatal population

Waugh syndrome: a report of 7 patients and review of the published reports

Diagnosing intussusception in preterm neonates: Case report and overview

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