Intestinal intussusception-not just for kids.

Intussusception is a phenomenon commonly associated with the paediatric population. In adults, intussusception is frequently a result of a neoplastic process. We present the case of a 56-year-old gentleman who was diagnosed to the local Emergency Department with a 4-day history of worsening severe, left sided lower abdominal pain. The pain was colicky in nature. Computed tomography identified a long-segment intussusception involving distal small bowel, caecum, ascending colon, the entirety of transverse colon and its associated mesentery. The patient proceeded to theatre where a laparotomy and right hemicolectomy was performed. Histopathological analysis of the specimen identified an ileal myxoma as the lead-point of the intussusception. This report emphasises the value of prompt investigation in atypical clinical presentations.

Artrite piogênica do quadril no recém-nascido / Pyogenic arthritis of the hip in the newborn infant

Os autores estudam 11 casos de artrite piogênica do quadril no recém-nascido. Em todos eles o diagnóstico e tratamento foram tardios, isto é, após quatro dias do início dos sintomas, comprovando as dificuldades do diagnóstico precoce; enfatizam que a artrotomia precoce do quadril comprometido é o tratamento de escolha para se evitar as lesöes osteoarticulares com repercussäo negativa na funçäo do quadril lesado

Resultados clínicos satisfatórios no uso de psicofármacos com indicaçäo atípica / Satisfactory clinical results in the use of psychopharmacological drugs with atypical indication

Os autores discutem a prescriçäo de tranqüilizantes maiores e menores em alguns casos de quadros neuróticos e psicóticos, respectivamente, com bons resultados. Levantam hipóteses quanto à correlaçäo diagnóstica nestes casos, aos efeitos de um bom relacionamento médico-paciente e às reaçöes adversas oriundas do emprego de psicofármacos indicados, de forma prevalecente, pela literatura especializada