Adult with intestinal malrotation and colocolic intussusception: an unusual combo

Intestinal malrotation is a congenital anomaly that results from an abnormality in the rotation and fixation of the gut as it returns to the abdominal cavity during development. Intussusception is a condition characterised by telescoping of one segment of the bowel into another segment. The combinat...

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Bibliographic Details
Published in:BMJ case reports 2019-07, Vol.12 (7), p.e226398
Main Authors: Gandhi, Vidhyachandra, Pai, Nitin, Kashiva, Reema, Mane, Dileep
Format: Article
Language:English
Subjects:
Abdomen
Adenoma, Villous - complications
Adenoma, Villous - surgery
Adults
Anastomosis, Surgical
Anemia
Anemia, Iron-Deficiency - complications
Anemia, Iron-Deficiency - therapy
Case reports
Colectomy - methods
Colon
Colon, Transverse - surgery
Colonic Diseases - complications
Colonic Diseases - diagnostic imaging
Colonic Diseases - surgery
Colonic Neoplasms - complications
Colonic Neoplasms - surgery
Colonic Polyps - complications
Colonic Polyps - surgery
Erythrocyte Transfusion
Female
Humans
Intestinal Volvulus - complications
Intestinal Volvulus - congenital
Intestinal Volvulus - diagnostic imaging
Intestinal Volvulus - surgery
Intussusception - complications
Intussusception - diagnostic imaging
Intussusception - surgery
Laparoscopy
Middle Aged
Pain
Pediatrics
Surgery
Tomography, X-Ray Computed
Tumors
Unusual Association of Diseases/Symptoms
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Summary:Intestinal malrotation is a congenital anomaly that results from an abnormality in the rotation and fixation of the gut as it returns to the abdominal cavity during development. Intussusception is a condition characterised by telescoping of one segment of the bowel into another segment. The combination of malrotation and intussusception is frequently a cause of intestinal obstruction in the paediatric age group. The coexistence of these two conditions is termed as Waugh syndrome and is uncommon in adults. We share our experience with an elderly woman who was admitted with diarrhoea and anaemia. Investigations revealed a large colonic polyp, colocolic intussusception and malrotation. The adenomatous polyp and mobile right colon would have lead to intussusception. The diagnosis was based on the findings of colonoscopy and contrast-enhanced CT scan of the abdomen. She was managed with a transverse colectomy with an uneventful recovery.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-226398