Abstract Heterotaxy syndrome is a rare congenital condition with multifactorial inheritance in which the internal organs are abnormally arranged in the chest and abdomen. It can be classified into two main subcategories: heterotaxy syndrome with polysplenia (left isomerism) and heterotaxy syndrome with asplenia (right isomerism). Such a distinction between these subcategories offers better means of indicating the genetic alterations responsible for the syndrome. Individuals with this condition have complex congenital abnormalities, affecting various organs such as the heart - interferes in blood transport - and lung - altering the number of pulmonary lobes. We report a case of heterotaxy syndrome with polysplenia without abnormality in the thoracic organs in an adult patient.

Resumo A síndrome heterotáxica é uma condição congênita rara com herança multifatorial em que os órgãos internos estão arranjados anormalmente no tórax e abdome, podendo ser classificadas em duas subcategorias principais: síndrome heterotáxica com poliesplenia (isomerismo esquerdo) e síndrome heterotáxica com asplenia (isomerismo direito). Indivíduos com esta condição têm complexas anormalidades congênitas acometendo diversos órgãos, como o coração - dificultando o transporte sanguíneo - e o pulmão - alterando o número de lobos. Relatamos um caso de síndrome heterotáxica com poliesplenia sem anormalidade nos órgãos torácicos em paciente adulta.

As fraturas por estresse são lesões comuns de uso excessivo do osso que são mais frequentemente observadas em atletas e militares, ocorrendo quando osso é acometido por traumas de baixa intensidade, porém de forma repetida por um longo período. A incidência das fraturas por estresse varia entre os estudos, mas são mais comuns nos membros inferiores, sendo os metatarsos mais comuns, seguidas do calcâneo. De todas as fraturas tarsais, a dos cuneiformes são as mais raras. A sintomatologia consiste em dor, com edema local e sensibilidade a palpação no local da fratura.

Stress fractures are common injuries of excessive use of the bone that is most frequently observed in athletes and military personnel, occurring when bone is affected by low-intensity trauma, but repeatedly for a long period. The incidence of stress fractures varies between studies, but they are more common in the lower limbs, with the metatarsus being more common, followed by the calcaneus. Of all tarsal fractures, cuneiform fractures are the rarest. The symptomatology consists of pain, with local edema and sensitivity to palpation at the fracture site.

Abstract We report the case of a 23-year-old immunocompetent patient who presented at the emergency department of a Brazilian hospital with epigastric pain and fever. After an investigation that included a computed tomography scan and upper gastrointestinal endoscopy with biopsy, a diagnosis of mucormycosis was established. The patient exhibited favorable progress after surgery and antifungal therapy. Mucormycosis is a rare condition that usually affects immunocompromised patients, with a high mortality rate of up to 85%. Correct diagnosis and fast initiation of therapy are required to ensure improved patient prognosis.