RESUMEN
Antiphospholipid syndrome is an uncommon cause of stroke. A 12 year old girl with this syndrome is reported who presented with thrombotic stroke and high titres of anticardiolipin (aCL) and lupus anticoagulant (LAC). The patient improved subsequently and was put on aspirin. The present report highlights the importance of screening for aCL and LAC in cases of stroke in young patients.
Asunto(s)
Síndrome Antifosfolípido/diagnóstico , Embolia Intracraneal/diagnóstico , Anticuerpos Anticardiolipina/sangre , Síndrome Antifosfolípido/sangre , Niño , Femenino , Humanos , Embolia Intracraneal/sangre , Inhibidor de Coagulación del Lupus/sangre , Imagen por Resonancia Magnética , Tálamo/patología , Tomografía Computarizada por Rayos XRESUMEN
Volvulus of the sigmoid colon is a very uncommon cause of acute obstruction in children. Although common in adults in India, it was found to account for only 0.8 per cent of all acute obstructions in infants and children in this institution. It causes a proximal torsional obstruction of the colon with an acute onset of symptoms. The onset of volvulus is characterized by colicky pain over the left lower quadrant, vomiting, tenderness, and rigidity in te left lower quadrant. A scout film of the abdomen may be inconclusive, but a barium-enema examination is diagnostic. The number of cases reported is too small to allow conclusions about the best treatment for children who have sigmoidal volvulus.