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Abdominal desmoid-type fibromatosis – a case report and an overview of treatment options 腹部硬纤维瘤病1例报告及治疗方案综述

Nowa Medycyna Pub Date : 2018-05-04 DOI: 10.25121/nm.2018.25.2.79

Justyna Koszarska-Mirek, Jakub Orleański

{"title":"Abdominal desmoid-type fibromatosis – a case report and an overview of treatment options","authors":"Justyna Koszarska-Mirek, Jakub Orleański","doi":"10.25121/nm.2018.25.2.79","DOIUrl":"https://doi.org/10.25121/nm.2018.25.2.79","url":null,"abstract":"Fibromatosis (desmoid, desmoid tumour) is a tumour belonging to the group of fibrous tissue proliferative diseases. Although the tumour cannot produce distant metastases, it shows local malignancy by invading adjacent tissues, as well as high recurrence rates after local resection. The incidence of fibromatosis is 2-4 cases per 1 million inhabitants per year. Three types of fibromatosis have been distinguished: extra-abdominal, abdominal wall and intra-abdominal type. Although the most common types are sporadic, coexistence with familial adenomatous polyposis (FAP), known as the Gardner’s syndrome, is observed. Available therapeutic options include surgical treatment, watchful waiting, hormone therapy, non-steroid anti-inflammatory drugs, chemotherapy and radiation therapy. This case report aims to draw attention to the difficulties in selecting an appropriate treatment option, limited surgical treatment, the psychological aspect of the disease, as well as the need to actively search for modern diagnostic and therapeutic solutions. We present a case of a 26-year-old patient who was ultimately diagnosed with a desmoid tumour invading the abdominal wall and internal abdominal organs. The patient presented to a county hospital due to suspected gastrointestinal obstruction. It was found from medical history that the patient had palpated a tumour of the abdominal wall 9 months before admission.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133581763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of factors affecting the quality of life of patients with ulcerative colitis 影响溃疡性结肠炎患者生活质量的因素分析

Nowa Medycyna Pub Date : 2018-05-04 DOI: 10.25121/nm.2018.25.2.57

Joanna Chrobak-Bień, A. Gawor, Małgorzata Paplaczyk, E. Małecka-Panas, A. Gąsiorowska

{"title":"Analysis of factors affecting the quality of life of patients with ulcerative colitis","authors":"Joanna Chrobak-Bień, A. Gawor, Małgorzata Paplaczyk, E. Małecka-Panas, A. Gąsiorowska","doi":"10.25121/nm.2018.25.2.57","DOIUrl":"https://doi.org/10.25121/nm.2018.25.2.57","url":null,"abstract":"Introduction. Ulcerative colitis (UC) is a non-specific inflammatory bowel disease of unknown aetiology. It is characterised by the presence of gastrointestinal and general symptoms that affect the daily functioning of the patient. Aim. The aim of the study was to analyse factors that influence the quality of life in patients with ulcerative colitis. Material and methods. The study was conducted in a group of 50 patients with ulcerative colitis, treated in the Department of General and Colorectal Medical Surgery in Łódź, and remaining under the care of a specialist Gastroenterological Outpatient Clinic at the University Hospital No. 1 in Łódź. The study was conducted as a diagnostic survey using a standardised SF-36v2 questionnaire as well as a questionnaire regarding demographic and clinical data. Results. Analysis of the obtained results showed reduced quality of life among respondents, especially during exacerbations. The respondents showed slightly lower mental functioning compared to physical functioning. The young age of respondents and higher education level significantly improve the quality of life. Conclusions. Chronic disease contributed to decreased quality of life of respondents. The quality of life for men and women was at a similar level. The quality of life improved during disease remission. Chronic intestinal and extraintestinal symptoms reduce the quality of life of patients.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124616766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Meckel’s diverticulum: an unusual finding during inguinal hernioplasty 梅克尔憩室:腹股沟疝成形术中一种不寻常的发现

Nowa Medycyna Pub Date : 2018-05-04 DOI: 10.25121/nm.2018.25.2.71

S. Glinkowski, D. Marcinkowska

{"title":"Meckel’s diverticulum: an unusual finding during inguinal hernioplasty","authors":"S. Glinkowski, D. Marcinkowska","doi":"10.25121/nm.2018.25.2.71","DOIUrl":"https://doi.org/10.25121/nm.2018.25.2.71","url":null,"abstract":"Meckel’s diverticulum is the most common congenital malalignment of the gastrointestinal tract, present in 2-4% of population. It occurs as an embryologic remnant of the vitelline duct. It may have different histological texture. Usually it is diagnosed only during autopsy or intraoperatively. Symptoms such as haemorrhage, inflammation or perforation are possible but very rare. The authors present a case of a patient who received scheduled surgical treatment due to right inguinal hernia. Meckel’s diverticulum was intraoperatively identified in the hernial sac. It was resected and sent for histopathological examination. Before the operation, the patient reported no history of diverticulum and no symptoms. A wedge resection and hernioplasty by Lichtenstein’s method were performed. Hernioplasty with mesh implantation and gastrointestinal tract discontinuity may be associated with a greater risk of infection; therefore prophylactic pre- and post-operative antibiotic therapy was administered. The surgery and the hospitalisation period were uneventful. No symptoms of wound infection were observed, and the healing process was proper. Histopathology findings confirmed the diagnosis of Meckel’s diverticulum. The herniation of a Meckel’s diverticulum – the so-called Littre hernia, is a very rare condition. On average, one case is described every year. In 50% of cases, it is localised in right inguinal hernia, as in the described case. Standard treatment involves diverticulum resection and, depending on the local condition, resection of the adjacent fragment of intestine in some cases.","PeriodicalId":311146,"journal":{"name":"Nowa Medycyna","volume":"241 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116152804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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