Combination of Adult Intussusception and Intestinal Malrotation: An Unusual Presentation |
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Authors: | Ting-Min Hsieh Shyr-Ming Sheen-Chen Chih-Che Lin |
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Institution: | (1) Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung College of Medicine, Chang Gung University, 123, Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien, Taiwan;(2) Department of Surgery, Xiamen Chang Gung Hospital, Xiamen, China |
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Abstract: | Intussusception is familiar to pediatric surgeons but is rarely encountered by general surgeons. Adult intussusception is
uncommon, accounting for less than 5% of intestinal obstructions, half of which are associated neoplasms. Intestinal malrotation
is usually an incidental finding with unrelated disease on image studies, laparotomy or even autopsy. The major complications
of intestinal malrotation are intestinal obstruction secondary to midgut volvulus, internal hernia, or adhesion band. The
association of the two entities, which is named Waugh’s syndrome in infants, has rarely been reported in the literature. The
association in adults is even rarer. We report an adult case with an unusual combination of malrotation and intussusception
at exploration. |
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Keywords: | Intussusception Intestinal malrotation Intestinal obstruction |
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