2022 Volume 42 Issue 4 Pages 517-520
A 41-year-old woman visited our hospital with a history of epigastralgia, nausea, vomiting, and diarrhea. The symptoms were not severe, but she developed melena on the day after her first visit. Abdominal computed tomography showed colonic invagination into the descending colon, and emergency laparotomy was performed. It was easy to restore the invaginated bowel segment, which showed no ischemic change, back to the original state. And the cecum and ascending colon were not fixed to the right abdominal wall. Ileocecal resection was performed because of a mass felt at the appendicular root, which turned out to be appendiceal intussusception. The association of intussusceptions and malrotation is named Waugh’s syndrome, which is commonly encountered in infants and children, but is a rarity in adults. We report an adult case of Waugh’s syndrome with appendiceal intussusception, with a review of the literature.
