ABSTRACT
An acute gastric volvulus in a 10 years old boy with Smith-Lemli-Opitz syndrome is reported. He was immediately operated on and an organoaxial volvulus secondary to spleen agenesia was found. No other visceral malformation was present. Because of gastric ischemia, a second-look procedure was performed 48 hours later in order to asses necrosis extent. Gastric fundus had to be resected and the stomach was definitively fixed to the abdominal wall. Clinical, radiological and therapeutic characteristics of this unusual pathology are reviewed.
Subject(s)
Smith-Lemli-Opitz Syndrome/physiopathology , Spleen/abnormalities , Stomach Volvulus/etiology , Stomach Volvulus/surgery , Acute Disease , Child , Humans , Male , Stomach Volvulus/diagnosisABSTRACT
Presentamos un caso de vólvulo gástrico agudo en un niño de 10 años con síndrome de Smith-Lemli-Opitz. El paciente fue intervenido con carácter urgente hallando un vólvulo organoxial secundario a una agenesia de bazo en ausencia de otras alteraciones viscerales. Ante el importante compromiso vascular se realizó una revisión quirúrgica 48 horas más tarde para valorar la extensión de la necrosis gástrica procediendose a la resección del fundus y a la fijación definitiva del estómago. Se revisan las características clínicas, radiológicas y terapéuticas de esta infrecuente patología (AU)
Subject(s)
Child , Male , Humans , Stomach Volvulus , Spleen , Smith-Lemli-Opitz Syndrome , Acute DiseaseABSTRACT
The author reflects on the major forensic biology issues related to human genome analysis. He also discusses, from the comparative law perspective, the extent to which genetic test evidence is binding on judges. He concludes with a discussion of the influence of genetic research on people's fundamental rights.
Subject(s)
Forensic Medicine/legislation & jurisprudence , Genetics, Medical/legislation & jurisprudence , Bioethics , DNA/genetics , Databases, Factual/legislation & jurisprudence , Expert Testimony/legislation & jurisprudence , Genome, Human , Human Rights/legislation & jurisprudence , HumansABSTRACT
We describe three severe clinic cases due to fungus balls of Candida albicans in hospitalized risky patients which presented a quickly clinical evolution. Because of their different local presentations medical and surgical management was needed. In the first case a intestinal fungus ball was found whereas in the other two cases were localized in the urinary tract. Here we present their clinical findings rather than their evolution after a medical and surgical management.
Subject(s)
Candidiasis/complications , Candidiasis/surgery , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Jejunal Diseases/etiology , Jejunal Diseases/surgery , Kidney Diseases/etiology , Kidney Diseases/surgery , Ureteral Obstruction/etiology , Ureteral Obstruction/surgery , Adolescent , Amphotericin B/therapeutic use , Candidiasis/drug therapy , Fluconazole/therapeutic use , Humans , Infant , Infant, Newborn , Intestinal Obstruction/diagnostic imaging , Jejunal Diseases/diagnostic imaging , Kidney Diseases/diagnostic imaging , Male , Ultrasonography , Ureteral Obstruction/diagnostic imagingABSTRACT
We report the case of a young man with an acute infarction of the left putamen and caudate nucleus, whose symptoms appeared six hours after intranasal use of approximately 0.5 g of cocaine hydrochloride. It seems probably that in this patient cocaine consumption played a role in the development of stroke.
