{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T20:42:11Z","timestamp":1773261731932,"version":"3.50.1"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European J Pediatr Surg Rep."],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>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.<\/jats:p>","DOI":"10.1055\/a-2781-7827","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:07:02Z","timestamp":1768954022000},"page":"e5-e8","source":"Crossref","is-referenced-by-count":1,"title":["Waugh's Syndrome: A Case Report and Literature Review of Intussusception and Malrotation"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0999-6524","authenticated-orcid":false,"given":"M\u00e1rio Rui","family":"Correia","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pedi\u00e1trica, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Isabel","family":"Barros","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pedi\u00e1trica, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Cagigal","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pedi\u00e1trica, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Sinde","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pedi\u00e1trica, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Sousa-Lopes","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pedi\u00e1trica, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Lu\u00edsa","family":"Gaspar","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pedi\u00e1trica, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena M.","family":"Silva","sequence":"additional","affiliation":[{"name":"Unidade de Gastroenterologia Pedi\u00e1trica, Servi\u00e7o de Pediatria, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9lder","family":"Morgado","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pedi\u00e1trica, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Banquart-Leit\u00e3o","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pedi\u00e1trica, Centro Materno Infantil do Norte Albino Aroso, Centro Hospitalar Universit\u00e1rio de Santo Ant\u00f3nio, Unidade Local de Sa\u00fade de Santo Ant\u00f3nio, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"issue":"09","key":"ref1","first-page":"1133","article-title":"Waugh's syndrome: A report of six patients","volume":"86","author":"A J Breckon","year":"1999","journal-title":"Br J Surg"},{"issue":"4579","key":"ref2","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1016\/S0140-6736(01)62753-3","article-title":"Referred penile pain in intussusception with notes of three cases","volume":"177","author":"G E Waugh","year":"1911","journal-title":"Lancet"},{"key":"ref3","first-page":"5638451","article-title":"Chronic intussusception associated with malrotation in a child: A variation of Waugh's syndrome?","volume":"2016","author":"N Zavras","year":"2016","journal-title":"Case Rep Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.ijscr.2011.09.006","article-title":"Discovery of a case of Waugh's syndrome during a mission to Haiti","volume":"3","author":"G Baltazar","year":"2012","journal-title":"Int J Surg Case Rep"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"C Sohrabi","year":"2023","journal-title":"Int J Surg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"e13","DOI":"10.1055\/s-0041-1740935","article-title":"Writing a case report in pediatric surgery: A comprehensive guideline","volume":"10","author":"X Feng","year":"2022","journal-title":"European J Pediatr Surg Rep"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"107269","DOI":"10.1016\/j.ijscr.2022.107269","article-title":"An unusual cluster of Waugh syndrome as a cause of intestinal obstruction in children - A case series","volume":"96","author":"I S 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Sc."},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"e29","DOI":"10.1055\/s-0037-1604264","article-title":"Waugh's syndrome: Report of two children with intussusception","volume":"5","author":"Y A Khan","year":"2017","journal-title":"European J Pediatr Surg Rep"},{"issue":"10","key":"ref12","first-page":"ND26","article-title":"Waugh's syndrome: Blessing in disguise","volume":"8","author":"C R Behera","year":"2014","journal-title":"J Clin Diagn Res"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"E78","DOI":"10.1177\/000313481107700409","article-title":"Laparoscopic approach to Waugh's syndrome","volume":"77","author":"G Harper","year":"2011","journal-title":"Am Surg"}],"container-title":["European Journal of Pediatric Surgery 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