Publications

One of the indications for liver transplantation is primary malignancies. Among adults, the most common is hepatocellular carcinoma, while among children embryonal hepatoma predominates. In addition, it has been noted the existence of tumors with intermediate characteristics between the two.

Renal failure occurs in about one-third of patients with acute heart failure and in about 25-40% of patients with chronic heart failure. Damage to one of these organs can secondarily lead to abnormal function of the other, which underlies the pathophysiology of CRS cardiac-renal syndrome.

Thyroid-associated orbitopathy (TAO) is a syndrome of ocular symptoms ocular symptoms caused by autoimmune inflammation of the soft tissues of the orbit leading to temporary or permanent damage to the organ of vision. It usually accompanies hyperthyroidism, but does not exclude the existence of hypothyroidism.

The purpose of this study is to describe the case of a patient with end-stage renal failure who underwent radiotherapy of the abdominal fields in childhood. The results and treatment history are analyzed. The patient was diagnosed with an abdominal tumor at age 1 (1967). Treatment was applied surgery and radiation therapy. At age 25 (1992), she was diagnosed with type 2 diabetes, despite no history of risk factors for the development of this disease. Seven years later (2000) gastrointestinal obstruction caused by adhesions (a probable result of radiation therapy). At that time, a right kidney tumor and left kidney cirrhosis were suspected. In 2008, progressive tumor growth in the right kidney was confirmed. Two years later (2010) The right kidney was removed. Histopathological diagnosis showed clear cell carcinoma. On the third day after surgery, renal replacement therapy (hemodialysis) was started. Currently, dialysis therapy is continued, and the patient is awaiting qualification for transplantation. Conclusions: Based on the analysis, it was concluded that the health problems found in the patient may have been a consequence of radiation therapy in childhood. Very difficult to determine to what extent radiation contributed to the pathology.

Gaucher disease is a rare metabolic disease caused by a genetically determined deficiency or lack of lysosomal β-glucocerebrosidase activity. The following occurs glucocerebrosidase storage, with clinical consequences. Based on the history of of four patients with Gaucher disease and the current state of knowledge, we considered the problem of diagnosis and we evaluated the effectiveness of standard therapy

Tako-tsubo cardiomyopathy, otherwise known as ballooning apical syndrome, is preceded by most often by tremendous psychological or physical stress. With its clinical picture, as in the case described, it usually mimics acute coronary syndrome. Of decisive importance is urgently performed angiography of the coronary arteries, in which there are no lesions. In addition, the disease can be confirmed by imaging studies (echocardiography, magnetic resonance imaging of the heart with contrast), which usually show akinesis of the apical and middle segments of the left ventricle and reduced ejection fraction. Very important for the course of the disease is its early diagnosis, because despite rapid improvement after combined treatment with β-blockers and angiotensin-converting enzyme inhibitors and rest, life-threatening complications can occur in the early stages of the disease. The patient is at risk for pulmonary edema, cardiogenic shock, and the development of life-threatening arrhythmias. We present the case of a 72-year-old patient who was diagnosed with tako-tsubo cardiomyopathy, despite the initial diagnosis of acute coronary syndrome. She was at risk for pulmonary edema, but such a complication did not occur. It is very important, that when diagnosing acute coronary syndrome, other possible causes of chest pain, this significantly facilitates the diagnosis and treatment of

Ankle sprain is the most common musculoskeletal injury in the emergency room. In the presented case, after ligament reconstruction, adhesions of the surgical scar with a nearby nerve and a neuroma developed, which was not visible on MRI examination

In terms of the incidence of malignant neoplasms in Poland, gastric cancer is ranked 5th in men and 9th in women. Poland is one of the countries with an average incidence rate, however, nearly 90\% of cases are diagnosed at an advanced stage, which is due, among other things, to the uncharacteristic symptomatology resembling other stomach conditions - peptic ulcer disease or gastritis. In Poland, early gastric cancer is diagnosed in only 4.5-7% of cases. The 5-year survival rate for all stages is about 10-25\%, with a survival rate of nearly 90\% in early cancer. Among the malignancies found in the stomach, 95\% are adenocarcinomas - adenocarcinomas, while the remaining 5% are lymphomas, sarcomas, carcinomas and stromal tumors.

Presentation of an unusual clinical course in the case of a 3.5-year-old child who swallowed a foreign body in the form of several small magnets.