RESUMO
We report the case of an 11-year-old female with acute pancreatitis, and review the literature highlighting the presenting symptoms and signs, laboratory tests, and investigational tools that helped in the establishment of a correct diagnosis. First, the patient presented to a regional hospital reporting abdominal pain, vomiting and liquid stool. She was admitted with the diagnosis of acute surgical abdomen and underwent surgery. Upon admission in our department, laboratory findings showed high values for total lipids = 2600 mg/dL and triglycerides 1200 mg/dL. Abdominal ultrasound revealed a pancreas with a small enlargement of the head (19 mm), and with a heterogeneous structure of the parenchyma. Abdominal computed tomography showed small left pleural collection and a high-dimensioned pancreas, particularly at the head, with heterogeneous structure, and peripancreatic collections. The patient was treated by fasting, gastric decompression by nasogastric tube, and intravenous antibiotherapy followed by antialgic and antispasticity treatment. Time of the patient's first feeding was after the 7th day of hospitalization. The patient was discharged in a very good condition after 22 days of hospitalization.
Assuntos
Hiperlipidemias/complicações , Pancreatite Necrosante Aguda/etiologia , Criança , Feminino , Humanos , Pancreatite Necrosante Aguda/diagnóstico por imagem , Admissão do Paciente , Alta do Paciente , Radiografia , UltrassonografiaRESUMO
Burkitt lymphoma has many forms of clinical presentations and, in children, it is usually discovered due to the presence of an abdominal mass. This rapidly growing tumor is highly malignant, aggressive, and may cause either indirect symptoms, due to pressure phenomena or direct involvement of the bowel lumen, leading to either intestinal obstruction or intussusception. We describe the case of a 4-year-old girl who exhibited an unusual presentation of ileocolic intussusception on a Burkitt lymphoma lesion of the ileum.
Assuntos
Linfoma de Burkitt/etiologia , Doenças do Íleo/etiologia , Intussuscepção/complicações , Linfoma de Burkitt/diagnóstico por imagem , Linfoma de Burkitt/patologia , Pré-Escolar , Feminino , Humanos , Doenças do Íleo/diagnóstico por imagem , Doenças do Íleo/patologia , Intussuscepção/diagnóstico por imagem , Intussuscepção/patologia , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
Parkinson's disease (PD) is a neurodegenerative disease of the central nervous system. Although PD is commonly characterized by well-known clinical manifestations, it also involves imbalances in the cortico-subcortical excitation and inhibition processes. Functional electrical stimulation can improve the motor condition of PD patients as a supplement to levodopa therapy. In this study, clinical (using specific tests) and paraclinical (using single-pulse transcranial magnetic stimulation) examinations revealed an improvement in the motor symptoms and the bilateral activation of the primary motor areas of the upper limbs after unilateral functional electrical stimulation in PD patients.