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    Giant hepatic hemangioma with Kasabach-Merritt syndrome treated with right hepatectomy: a case report with literature review
    (Oficyna Wydawnicza AFM, 2023) Vasavada, Bhavin; Patel, Hardik
    Background: We present a case of giant hepatic hemangioma with Kasabach-Merritt syndrome. Material and methods: A thirty-seven-year-old female presented to us with a six-month history of recurrent abdominal pain and weight loss. A CT scan was suggestive of a huge right liver mass involving the entire right lobe, which was indicative of hemangioma. Her blood chemistry showed a platelet count of 68,000 and INR of 1.4, suggestive of Kasabach-Merritt syndrome. Results: In view of the size of the mass, symptoms and associated Kasabach-Merritt syndrome, the patient was offered surgical removal of the tumour. On exploration, the tumour covered the right lobe completely and so a right hepatectomy was performed. The hemangioma was 25 cm × 20 cm × 16 cm and weighed 1.8 kg. The postoperative course of the patient was uneventful. On day 3, the platelet count had improved to 98,000 and the INR had improved to 1.2. The patient was discharged on day five. Conclusions: A right hepatectomy for a giant hemangioma of the liver is a safe procedure and can be curative for associated Kasabach-Merritt syndrome.
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    Medicine and Public Health, 2023, Vol. 1, Number 2
    (Oficyna Wydawnicza AFM Uniwersytetu Andrzeja Frycza Modrzewskiego w Krakowie, 2023) Kelčíková, Simona; Mazúchová, Lucia; Malinovská, Nora; Maskálová, Erika; Rúfusová, Nikola; Wąsik, Magdalena Maria; Kolendo, Jarosław; Potapov, Oleksii; Szweda, Hanna; Szymanowski, Paweł; Vasavada, Bhavin; Patel, Hardik; Komorowski, Andrzej L.; Raffeiner, Stephan; Eshja, Esmeralda; Happacher, Ruth; Shabat, Galyna; Mueller, Martin; Józefiak, Anna Maria; Szczepanik, Magdalena Anna; Zavatskyi, Ruslan; Korneta, Krzysztof
    Introduction: "In the second issue of “Medicine and Public Health” readers have the opportunity to enjoy eight interesting articles. It is important to notice that our journal is drawing the attention of international authors, and hopefully readers as well. This authors of this issue come from four different countries. The authors from Italy share with us an interesting and splendidly illustrated case of a rare internal hernia, the authors from India describe a rare form of liver tumour, while those from Slovakia describe the context of a preventive gynaecological examination. The Polish authors also share with us several interesting aspects of contemporary medicine. Wąsik et al. review the emerging role of ICG technique in surgery, and Szweda et al. deal with urethral profilometry. Interesting case reports by Kolendo (a rare complication of arthrosocopy) and Józefiak (a rare appendiceal tumour), as well as my own commentary on the current status of lymphadenectomy for gastric cancer, complete this issue. I very much hope readers will enjoy this issue and that they won’t be disappointed."(...)