European Journal of Pediatric Surgery Reports最新文献

Postoperative Pulmonary Hypertension after Primary Abdominal Wall Closure for Small Omphalocele: A Case Series. 小脐膨出原发性腹壁闭合术后肺动脉高压：一个病例系列。

IF 0.5

European Journal of Pediatric Surgery Reports Pub Date : 2026-08-24 eCollection Date: 2026-01-01 DOI: 10.1055/a-2937-1779

Seitaro Kosaka, Takanori Ochi, Shuko Nojiri, Tadaharu Okazaki, Go Miyano

{"title":"Postoperative Pulmonary Hypertension after Primary Abdominal Wall Closure for Small Omphalocele: A Case Series.","authors":"Seitaro Kosaka, Takanori Ochi, Shuko Nojiri, Tadaharu Okazaki, Go Miyano","doi":"10.1055/a-2937-1779","DOIUrl":"10.1055/a-2937-1779","url":null,"abstract":"Primary closure is a low-risk option for small omphaloceles (SOs). However, despite the absence of liver herniation and limited volume of herniated viscera, we encountered two cases of postoperative pulmonary hypertension (PH) and respiratory failure after closure for SO. This report discusses the safety of primary closure and potential factors that may be associated with postoperative PH in infants with SOs. Cases 1 and 2 presented with SOs without chromosomal abnormalities or liver herniation (gestational ages 36 and 37 weeks, birth weights 3,650 and 2,577 g, and defect sizes 4 and 2 cm, respectively). Prenatal ultrasonography showed no evidence of oligohydramnios in either case, and chest radiography was negative for chest wall deformity at birth. Primary closure was performed within 24 hours of birth after stabilization, defined as venous blood gas values without hypoxia/CO 2 retention, and echocardiographic confirmation of no PH. Arterial blood gas was assessed after abdominal wall closure and demonstrated critical respiratory failure with CO 2 retention, and both infants developed postoperative PH. However, low Apgar scores were noted (at 1 minute: 4 and 6 and at 5 minutes: 6 and 6 in Cases 1 and 2, respectively). One infant died from refractory PH, but the other responded to treatment. Even in SO, preoperative respiratory reserve, including information reflected by Apgar scores, may be carefully considered when determining the timing and feasibility of primary closure.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e45-e49"},"PeriodicalIF":0.5,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robot-Assisted Laparoscopic Transvesical Closure of a Vesicovaginal Fistula: First Report in a Teenage Girl. 机器人辅助腹腔镜经膀胱闭合膀胱阴道瘘：首次报告在一个十几岁的女孩。

IF 0.5

European Journal of Pediatric Surgery Reports Pub Date : 2026-08-17 eCollection Date: 2026-01-01 DOI: 10.1055/a-2933-1909

Pauline Lopez, Alexis Belgacem, Jenna Houari, Xavier Plainard, Aurélien Descazeaud, Quentin Ballouhey

{"title":"Robot-Assisted Laparoscopic Transvesical Closure of a Vesicovaginal Fistula: First Report in a Teenage Girl.","authors":"Pauline Lopez, Alexis Belgacem, Jenna Houari, Xavier Plainard, Aurélien Descazeaud, Quentin Ballouhey","doi":"10.1055/a-2933-1909","DOIUrl":"https://doi.org/10.1055/a-2933-1909","url":null,"abstract":"Vesicovaginal fistula (VVF) is rare in children and is most commonly associated with retained vaginal foreign bodies. Surgical repair is technically demanding and carries a significant risk of recurrence, which has limited the application of minimally invasive approaches. We report the first pediatric case of robot-assisted laparoscopic transvesical repair of a VVF. A 14-year-old girl presented with longstanding urinary incontinence, malodorous vaginal discharge, and recurrent urinary tract infections, since early childhood. Initial imaging revealed a 30-mm bladder stone. Cystoscopy identified a large infratrigonal VVF associated with the stone, which had formed around a retained plastic ring. The foreign body and stone were removed through a suprapubic cystotomy. As spontaneous fistula closure did not occur after 1 year, definitive repair was undertaken. A robot-assisted laparoscopic transvesical approach was performed following cystoscopic identification of the ureteral orifices and placement of bilateral double-J stents. The fistula was closed in two watertight layers, with separate closure of the vaginal and bladder defects using absorbable sutures ( Video 1 ). No intraoperative or postoperative complications occurred. The patient was discharged on postoperative day 2. At 1-year follow-up, she remained asymptomatic, with complete fistula closure, normal urinary continence, and normal uroflowmetry findings. Robot-assisted transvesical repair provides excellent visualization and precise suturing within the confined pelvic space, representing a promising minimally invasive option for the management of complex pediatric VVF.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e42-e44"},"PeriodicalIF":0.5,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pseudotumoral Hilar Lesion Mimicking Cholangiocarcinoma Revealing Primary Sclerosing Cholangitis in a Child. 模拟胆管癌的假肿瘤肝门病变显示儿童原发性硬化性胆管炎。

IF 0.5

European Journal of Pediatric Surgery Reports Pub Date : 2026-08-12 eCollection Date: 2026-01-01 DOI: 10.1055/a-2876-1905

Monim Ochan, Ayoub El Barkaoui, Lina Belkouchi, Jaouad Bouljrouf, Mounir Kisra

{"title":"Pseudotumoral Hilar Lesion Mimicking Cholangiocarcinoma Revealing Primary Sclerosing Cholangitis in a Child.","authors":"Monim Ochan, Ayoub El Barkaoui, Lina Belkouchi, Jaouad Bouljrouf, Mounir Kisra","doi":"10.1055/a-2876-1905","DOIUrl":"10.1055/a-2876-1905","url":null,"abstract":"Primary sclerosing cholangitis (PSC) is a rare cause of pediatric cholestasis and may exceptionally present as a focal mass-forming lesion. We report the case of a 9-year-old boy presenting with progressive obstructive jaundice in whom magnetic resonance cholangiopancreatography revealed a solid lesion at the hepatic duct confluence, highly suspicious for malignancy. Given persistent biliary obstruction and the inability to reliably exclude cholangiocarcinoma using noninvasive or endoscopic diagnostic methods, surgical exploration was undertaken. Complete excision of the lesion followed by Roux-en-Y hepaticojejunostomy was performed. Histopathological examination demonstrated concentric periductal fibrosis consistent with PSC, associated with established biliary cirrhosis, without evidence of malignancy. The postoperative course was uneventful, with rapid clinical and biochemical improvement. This case highlights a rare pseudotumoral presentation of pediatric PSC and underscores the role of surgery as a definitive diagnostic and therapeutic option when malignancy cannot be excluded.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e38-e41"},"PeriodicalIF":0.5,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13467270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic-Assisted Thoracoscopic Circumferential Resection of Congenital Esophageal Stenosis in Under 10 kg Patient. 机器人辅助胸腔镜环切术治疗体重不足10公斤的先天性食管狭窄。

IF 0.5

European Journal of Pediatric Surgery Reports Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1055/a-2905-8655

Francesco Fascetti-Leon, Federica Varner, Federica De Corti, Luca Maria Antoniello, Luisa Meneghini, Alvise Guariento, Miriam Duci

{"title":"Robotic-Assisted Thoracoscopic Circumferential Resection of Congenital Esophageal Stenosis in Under 10 kg Patient.","authors":"Francesco Fascetti-Leon, Federica Varner, Federica De Corti, Luca Maria Antoniello, Luisa Meneghini, Alvise Guariento, Miriam Duci","doi":"10.1055/a-2905-8655","DOIUrl":"10.1055/a-2905-8655","url":null,"abstract":"Congenital esophageal stenosis is a rare and heterogenous malformation often associated with esophageal atresia (EA). Failure of conservative endoscopic treatment leads to surgery. Transthoracic approach is rarely advocated due to the peridiaphragmatic localization of the stricture. Robotic-assisted thoracoscopic surgery (RATS) may offer enhanced precision in confined spaces; its application in patients under 10 kg is still considered a challenge. We report the first description of RATS resection of cartilaginous congenital stenosis and esophagoesophagostomy in a 9.5 kg patient. A female patient with a history of EA type III was corrected via videothoracoscopy, two cardiac surgeries via sternotomy, and laparoscopic treatment of duodenal atresia. During weaning, she did not tolerate thickened food, and endoscopy revealed a patent anastomosis but a distal esophageal stricture. A course of pneumatic dilation was attempted. Persistent clinical and radiological findings indicated the need for surgery. At 15 months, the patient underwent three-trocar thoracoscopy with the da Vinci Xi system. Esophagoscopy helped the identification of the stricture. A longitudinal incision exposed a 2-cm segment of thickened esophageal wall requiring complete excision. A tension-free end-to-end anastomosis was performed using 4/0 PDS. Tracheobronchial remnants were confirmed at histopathologIcal finding. Esophageal contrastography demonstrated a good diameter anastomosis. One month after the operation, she was able to swallow solid food. Surgery for congenital stenosis is indicated when endoscopic management fails. RATS for esophageal diseases in patients under 10 kg is feasible, and peridiahragmatic esophagus particularly suits to this technique. Previous accesses to the thorax seems not to be a limitation.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e34-e37"},"PeriodicalIF":0.5,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bronchogenic Cyst at the Terminal Ileum Presenting as an Enteric Duplication: A Case Report. 回肠末端支气管源性囊肿表现为肠重复1例。

IF 0.5

European Journal of Pediatric Surgery Reports Pub Date : 2026-07-17 eCollection Date: 2026-01-01 DOI: 10.1055/a-2888-9612

Thilo Stolze, Larissa Seidmann, Asim Zouari, Stephan Rohleder

{"title":"Bronchogenic Cyst at the Terminal Ileum Presenting as an Enteric Duplication: A Case Report.","authors":"Thilo Stolze, Larissa Seidmann, Asim Zouari, Stephan Rohleder","doi":"10.1055/a-2888-9612","DOIUrl":"10.1055/a-2888-9612","url":null,"abstract":"Bronchogenic cysts are congenital foregut malformations most often found in the mediastinum or lung parenchyma. Abdominal locations are exceedingly rare and most commonly found in the left retroperitoneum. They may mimic other intra-abdominal masses and pose a preoperative diagnostic challenge. A 17-year-old female presented with 4 days of diffuse, mild abdominal pain. Ultrasound and MRI identified a 5.5 × 3.8 × 3.1 cm unilocular, hypoechoic cyst adjacent to the terminal ileum at the ileocecal valve. Preoperative differential diagnoses included an ileal duplication cyst. Single-incision laparoscopy was converted to a small open ileocecal resection. Histopathology revealed a bronchogenic cyst, lined with ciliated respiratory epithelium with focal non-keratinized squamous epithelium. The patient recovered uneventfully and remained asymptomatic at 3-week follow-up. Although rare and often detected incidentally, bronchogenic cysts should be considered in the differential diagnosis of abdominal cystic lesions. Complete surgical excision is recommended to establish the diagnosis, relieve symptoms, and prevent potential complications. To our knowledge, this is the first reported case of a bronchogenic cyst located at the terminal ileum.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e30-e33"},"PeriodicalIF":0.5,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epigastric Heteropagus Twin in a Term Neonate: Early Diagnosis, Multidisciplinary Separation, and Favorable Outcome: A Case Report. 足月新生儿腹壁异位双生儿：早期诊断、多学科分离和良好结局：1例报告。

IF 0.5

European Journal of Pediatric Surgery Reports Pub Date : 2026-07-06 eCollection Date: 2026-01-01 DOI: 10.1055/a-2899-2275

Abdelrahman S Elnour, Bushara Abdullah, Leena Abdelmagid, Rammah Bireama, Moataz Idriss, Faisal Nugud

{"title":"Epigastric Heteropagus Twin in a Term Neonate: Early Diagnosis, Multidisciplinary Separation, and Favorable Outcome: A Case Report.","authors":"Abdelrahman S Elnour, Bushara Abdullah, Leena Abdelmagid, Rammah Bireama, Moataz Idriss, Faisal Nugud","doi":"10.1055/a-2899-2275","DOIUrl":"10.1055/a-2899-2275","url":null,"abstract":"Introduction: Epigastric heteropagus twinning is an extremely rare form of asymmetric conjoined twinning, characterized by a parasitic twin attached to the upper abdomen of a structurally normal autosite.Case presentation: We report a full-term female neonate born via elective cesarean section with an epigastric heteropagus parasitic twin. The parasitic twin had a well-formed head and neck with a rudimentary trunk, and absence of limb structures. The autosite was clinically stable, with normal cardiovascular and respiratory status, and no congenital anomalies were detected on echocardiography. Contrast-enhanced computed tomography revealed a well-formed calvarium and cervical spine in the parasitic twin, absent thoracic and abdominal organs, and two major feeding vessels from the autosite. There was no visceral sharing. Surgical separation was performed on day 10 of life by a multidisciplinary team. Both feeding vessels were carefully ligated, the parasitic twin was completely excised, and the anterior abdominal wall was reconstructed. Postoperative recovery was uneventful; oral feeding resumed on day 3, and the infant was discharged on day 7. At 9-month follow-up, growth and developmental milestones were normal, with no evidence of hernia or other complications.Conclusion: Early separation of epigastric heteropagus twins is safe and effective when there is no visceral sharing, the vascular anatomy is clearly defined, and multidisciplinary planning is implemented.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e26-e29"},"PeriodicalIF":0.5,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Congenital Jejunal Web with Central Aperture in Children: Report of Two Cases of Delayed Diagnosis and Management. 儿童先天性空肠网伴中心孔：2例延迟诊断及治疗报告。

IF 0.5

European Journal of Pediatric Surgery Reports Pub Date : 2026-04-02 eCollection Date: 2026-01-01 DOI: 10.1055/a-2839-6197

Umama Huq, Md Hasanuzzaman, Sadruddin Al Masud, Kaniz Hasina, Zobaer Hassan Chowdhury

引用次数: 0

A Case Report of a Syndromic Triad of Persistent Urogenital Sinus, Herlyn-Werner-Wunderlich Syndrome, and Prune Belly Syndrome in a Neonate. 新生儿持续性泌尿生殖窦综合征、Herlyn-Werner-Wunderlich综合征、Prune Belly综合征三联征1例报告。

IF 0.5

European Journal of Pediatric Surgery Reports Pub Date : 2026-02-24 eCollection Date: 2026-01-01 DOI: 10.1055/a-2806-3084

Elena Grömping, Johanna Hagens, Hans C Schmidt, Katharina Wenke, Christian Tomuschat, Konrad Reinshagen

{"title":"A Case Report of a Syndromic Triad of Persistent Urogenital Sinus, Herlyn-Werner-Wunderlich Syndrome, and Prune Belly Syndrome in a Neonate.","authors":"Elena Grömping, Johanna Hagens, Hans C Schmidt, Katharina Wenke, Christian Tomuschat, Konrad Reinshagen","doi":"10.1055/a-2806-3084","DOIUrl":"10.1055/a-2806-3084","url":null,"abstract":"Background: We present a case of a premature female neonate with a triad of persistent urogenital sinus with urinary ascites, bilateral hydrocolpos in a duplex uterus, and abdominal wall hypoplasia resembling Prune Belly-like syndrome, combined with severe bilateral cystic dysplastic kidneys and complex urinary obstruction.Case report: A female infant was born at 34 3/7 weeks' gestation via cesarean section due to prenatal detection of hydrops fetalis and massive urinary ascites. Prenatal ultrasound had shown oligohydramnios, ascites, megacystis, and hydrocolpos. Postnatally, urinary ascites, a persistent urogenital sinus, severe upper urinary tract dilation, bilateral dysplastic kidneys, and an obstructive vaginal septum were confirmed. Management included staged urinary drainage, vaginal septum incision, intensive respiratory and renal support, and multidisciplinary care.Conclusion: This unique combination of anomalies presents significant diagnostic and therapeutic challenges. Early recognition and individualized multidisciplinary management are essential to improve postnatal outcomes and guide long-term planning in such cases.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e17-e21"},"PeriodicalIF":0.5,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12932032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fibrous Hamartoma of Infancy of the Arm Mimicking a Vascular Malformation: A Diagnostic Pitfall. 模仿血管畸形的婴儿期手臂纤维错构瘤：一个诊断缺陷。

IF 0.7

European Journal of Pediatric Surgery Reports Pub Date : 2026-01-31 eCollection Date: 2026-01-01 DOI: 10.1055/a-2790-2093

Layth J M Saada, Malak Ismael Marei, Izzeddin A Bakri, Jamil Saada

{"title":"Fibrous Hamartoma of Infancy of the Arm Mimicking a Vascular Malformation: A Diagnostic Pitfall.","authors":"Layth J M Saada, Malak Ismael Marei, Izzeddin A Bakri, Jamil Saada","doi":"10.1055/a-2790-2093","DOIUrl":"10.1055/a-2790-2093","url":null,"abstract":"Background: Fibrous hamartoma of infancy (FHI) is a rare benign soft tissue tumor of early childhood, often misdiagnosed due to its clinical and/or radiological resemblance to vascular malformations or pediatric soft tissue neoplasms.Case presentation: A 7-month-old male presented with a rapidly enlarging, firm, non-pulsatile subcutaneous mass involving the anterior aspect of almost the entire right arm. MRI suggested a low-flow vascular malformation; however, due to clinical concern for alternative pathology and the lesion's benign appearance, large size, superficial location, and resectability, complete excision was performed. Histopathology revealed the characteristic triphasic pattern confirming fibrous hamartoma of infancy. The patient recovered well with no recurrence at 3-month follow-up.Conclusion: This case highlights the diagnostic pitfalls of FHI, which may closely mimic vascular anomalies on imaging, and underscores the importance of surgical excision for both definitive diagnosis and curative treatment. To our knowledge, this represents the first reported case of FHI from Palestine.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e9-e16"},"PeriodicalIF":0.7,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12860553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Waugh's Syndrome: A Case Report and Literature Review of Intussusception and Malrotation. 沃氏综合征：肠套叠及旋转不良1例报告及文献复习。

IF 0.7

European Journal of Pediatric Surgery Reports Pub Date : 2026-01-27 eCollection Date: 2026-01-01 DOI: 10.1055/a-2781-7827

Mário Rui Correia, Ana Isabel Barros, Jorge Cagigal, Joana Sinde, Catarina Sousa-Lopes, Maria Luísa Gaspar, Helena M Silva, Hélder Morgado, José Banquart-Leitão

{"title":"Waugh's Syndrome: A Case Report and Literature Review of Intussusception and Malrotation.","authors":"Mário Rui Correia, Ana Isabel Barros, Jorge Cagigal, Joana Sinde, Catarina Sousa-Lopes, Maria Luísa Gaspar, Helena M Silva, Hélder Morgado, José Banquart-Leitão","doi":"10.1055/a-2781-7827","DOIUrl":"https://doi.org/10.1055/a-2781-7827","url":null,"abstract":"Waugh's syndrome, the rare coexistence of intussusception and intestinal malrotation, has rarely been reported in literature, with fewer than 100 cases described globally. Its diagnosis is challenging due to non-specific symptoms of both conditions and the frequent success of non-operative reduction of intussusception, which often results in underdiagnosis of malrotation. We present a case of a 6-month-old boy who developed recurrent vomiting, feeding intolerance, and failure to thrive. Ultrasound imaging revealed ileocolic intussusception and a mobile cecum. Laparoscopy confirmed malrotation, and the patient underwent manual reduction of intussusception, followed by Ladd procedure. The child had an uneventful postoperative recovery without complications. Early diagnosis of Waugh's syndrome requires a high index of suspicion, particularly in recurrent obstructive symptoms where malrotation may be present. Enhanced imaging techniques can facilitate prompt diagnosis and guide appropriate surgical intervention, preventing complications. Clinicians should maintain a high degree of suspicion for Waugh's syndrome to ensure timely and effective intervention.","PeriodicalId":43204,"journal":{"name":"European Journal of Pediatric Surgery Reports","volume":"14 1","pages":"e5-e8"},"PeriodicalIF":0.7,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12846850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0