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Revista Cubana de Cirugía
versão On-line ISSN 1561-2945
Resumo
GONZALEZ TOVAR, Jorge et al. Association of invagination and intestinal malrotation with Waugh’s síndrome. Rev Cubana Cir [online]. 2018, vol.57, n.4 ISSN 1561-2945.
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.
Palavras-chave : Keywords:; malrotation; surgery; pediatric.