[Wilkie syndrome as a diagnostic challenge in intestinal obstruction: case report]. / Síndrome de Wilkie como reto diagnóstico en obstrucción intestinal: reporte de caso.

Wilkie syndrome is a rare pathology that generates intestinal obstruction due to a decrease of the aortomesenteric angle compromising the third portion of the duodenum. We describe a case of an 18-year-old female patient, diagnosed with Wilkie syndrome, with clinical symptoms of intestinal obstruction and weight loss. The diagnosis was made with abdominal CT. Wilkie syndrome is a rare pathology, which becomes a diagnostic challenge because it presents a similar picture to other more common pathologies. We recommend that it should be suspected in the presence of duodenal obstruction.

Trombosis venosa cerebral y COVID-19: ¿Asesino silencioso durante la pandemia? / Cerebral venous thrombosis and COVID-19: A silent killer during the pandemic?

RESUMEN Trombosis venosa cerebral (TVC) es una rara condición clínica caracterizada por una obstrucción de los senos venosos durales o de las venas corticales cerebrales que desencadena hipertensión intracraneal y síntomas tales como cefalea, crisis epilépticas y coma, entre otros. Se ha asociado como complicación neurológica del síndrome respiratorio agudo severo (SARS-CoV-2) del Coronavirus 2. Objetivo: Describir los casos reportados de TVC en pacientes con Enfermedad por Coronavirus 2019 (COVID-19). Material y Métodos: Se realizó una búsqueda bibliográfica en PubMed para recabar sólo los reportes de caso en los que los pacientes con COVID-19 desarrollaron TVC. Resultados: Se analizaron reportes de 13 pacientes y se recabó información sobre sexo, edad, comorbilidades, severidad del COVID-19, tipo de TVC, tratamiento recibido, complicaciones y desenlace final. Conclusión: TVC asociada a COVID-19 se puede presentar en pacientes con características variadas, suele tener complicaciones graves y en algunos casos, un desenlace mortal.

SUMMARY Cerebral venous thrombosis (CVT) is a rare clinical condition that consists of an obstruction of the dural venous sinuses or the cerebral cortical veins, triggering intracranial hypertension and symptoms such as headache, seizures and coma among others. CVT has recently been associated as a neurological complication of the Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2). Objective: To describe reported cases of CVT in patients with Coronavirus Disease 2019 (COVID - 19). Material and Methods: A literature search was conducted on PubMed to collect only case reports of patients with COVID-19 who developed CVT. Results: Report of 13 patients were analyzed and information was collected about sex, age, comorbidities, severity of COVID-19, type of CVT, treatments received, complications and the final outcome. Conclusion: CVT associated with COVID-19 can occur in patients with varied characteristics, often with serious complications and in some cases, a fatal outcome.