Presentations of Waugh's syndrome:intra-luminal cecal cyst and trans-anal prolapsing intussusception: a case report.

BACKGROUND: Intussusception with intestinal malrotation is termed as Waugh's syndrome. The incidence of Waugh's syndrome is less than 1%. There are very few reported cases. Once presented, it is a pediatric surgical emergency. CASE PRESENTATION: We present here two cases of Waugh's syndrome: an 11-month-old male patient of Punjabi descent and a 4-month-old female patient of Afghan descent who presented to us with abdominal pain and bleeding per rectum. Abdominal sonography revealed an intussusception with a target sign. They were explored and perioperatively had intestinal malrotation alongside intussusception, thus a diagnosis of Waugh's syndrome was made. A right hemicolectomy and Ladd's procedure was performed. CONCLUSION: Waugh syndrome is a rare congenital anomaly but can present with vague abdominal symptoms. Once presented, it is a pediatric surgical emergency. The patient should be optimized followed by surgical exploration.

Obstrucción intestinal neonatal secundaria a duplicación cecal / Neonatal intestinal obstruction due to cecal duplication

Introducción. Las duplicaciones de ciego son patologías poco frecuentes, representando el 0,4% de las duplicaciones intestinales, existiendo pocos casos publicados. Caso clínico. Presentamos un caso de una recién nacida de 48 horas de vida con vómitos biliosos y distensión abdominal; en las pruebas de imagen, se observa una masa quística de 30 mm de diámetro en flanco derecho; en la laparotomía se comprueba una tumoración quística localizada en ciego; se realiza resección ileocólica con anastomosis término-terminal. El estudio anatomopatológico confirma la existencia de un quiste de duplicación cecal. Comentarios. En pacientes con obstrucción intestinal, el enema opaco permite realizar el diagnóstico diferencial con otras patologías cólicas del periodo neonatal; cuando el quiste de duplicación cecal no se encuentra comunicado con la luz del colon, se puede observar un defecto de repleción, lo que junto con otras pruebas y la clínica, nos puede hacer sospechar duplicación cecal. Se recomienda realizar una intervención quirúrgica temprana, incluso en pacientes asintomáticos, para disminuir la morbilidad

Cecal duplications are rare, representing 0.4% of all gastrointestinal duplications, with few cases reported in the literature. A 48 hours-old newborn presented with bilious vomiting and abdominal distension; the ultrasound revealed a cystic mass in the right abdomen; ileocolic resection was performed with end to end anastomosis. Microscopy confirmed cecal duplication cyst. In patients with intestinal obstruction, contrast enema allows differential diagnosis with other colonic pathologies in the newborn; when the cecal duplication cyst is connected to the lumen of the colon, enema reveals a filling defect, and cecal duplication can be suspected. Although cystic lesions are asymptomatic, they should be excised when detected to prevent complications

Adenocarcinoma Arising in a Duplication of the Cecum

Intestinal duplications are rare developmental abnormalities that may occur anywhere in the gastrointestinal tract. The possibility of a malignant change occurring in these duplications is very low. We present a case of adenocarcinoma arising in a duplication of the cecum. A 41-year-old male patient was admitted because of a palpable abdominal mass. Abdominal computed tomography revealed a 6-cm, peripheral wall-enhanced, round, cystic mass in the cecal area. Excision of the mesenteric mass and a right hemicolectomy was performed. Upon histologic examination, the patient was diagnosed with adenocarcinoma arising in a duplication of the cecum.

Ileo mecánico por malformación congïnita cecal: divertículo ileocecal intraparietal / Mechanical ileus due to cecal congenital malformation: intraparietal ileocecal diverticulum

Se presenta un caso de ileo mecánico por invaginación intestinal, cuyo origen resulta ser una malformación congénita con las características de divertículo ileocecal, desarrollado dentro de la pared del ciego, que se resuelve quirúrgicamente mediante la resección del segmento afectado