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Łukasz Migdalski and Krzysztof Kuzdak

: Spontaneous rupture of hepatocellular carcinoma presented as low back pain to an emergency department: a case report. BMJ Case Rep. Epub 2009 Feb; 26. 9. Oláh A, Acs M, Mátrai T: Rupture of a giant hematoma of the liver as a complication of anticoagulant therapy. Orv Hetil 1993 Feb 14; 134(7): 359-62. 10. Al-Fraij AK , Dhar PM, Al-Khalejy A, Abu Najem F: Massive hemorrhage from spontaneous ruptured hepatocellular carcinoma controlled by isoamyl 2-cyanoacrylate: a case report. Med Princ Pract 2011; 20(3): 297-99.

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Stanley Dudrick

standards. Am J Surg 2006; 191: 17-22. Kapadia MR, DaRosa DA, MacRae HM et al.: Current assessment and future directions of surgical skills laboratories. J Surg Educ 2007; 64: 260-65. Sachdeva AK, Pellegrini CA, Johnson KA: Support for simulation-based surgical education through American College of Surgeons-accredited education institutes. World J Surg 2008; 32: 196-207. American College of Surgeons (ACS) Program for the accreditation of education institutes. Chicago: 2008; http

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Anna Kot, Jakub Kenig and Piotr Wałęga

elderly: risk factors for perforation.World J Emerg Surg 2014; 9: 6. 5. Jaschinski T, Mosch C, Eikermann M et al.: Laparoscopic versus open appendectomy in patients with suspected appendicitis: a systematic review of meta-analyses of randomised controlled trials. BMC Gastroenterol 2015; 15: 48. 6. Ingraham AM, Cohen ME, Bilimoria KY: Comparison of outcomes after laparoscopic versus open appendectomy for acute appendicitis at 222 ACS NSQIP hospitals. Surgery 2010; 148 (4): 625-35. 7. Svensson JF, Patkova B, Almström M et al

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Dawid Murawa, Piotr Nowaczyk and Beata Adamczyk

Pancreas with Huge Cystic Degeneration: A Lesion to Be Distinguished from Pseudocyst and Mucinous Cystadenoma. Int J Surg Pathol 2003; 11: 235-39. Golash Y, Cutress R: . Laparoscopic cystogastrostomy for a giant pseudocyst of pancreas. Surgeon 2005; 3: 37-41. Nakeeb A, Lillemoe KD, Cameron JL: . Procedures for bening and malignant pancreatic disease. W: Souba WW (red.): ACS Surgery: Principles and Practise. Wyd. 6. Webmd Professional Publishing 2007. Brown SP, Williamson RCN: . Giant

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Dawid Murawa, Piotr Nowaczyk and Paweł Murawa

-36. Cheng-Cheng Tung, Feng-Chi Chen, Chong-Jeh Lo: Splenic Abscess: An Easily Overlooked Disease? Am Surg 2006; 72: 322-25. Sawyer RG, Barkun JS, Smith R et al.: Intraabdominal infection. W: Souba WW (red.): ACS Surgery: Principles and Practise. Wyd. 6. Webmd Professional Publishing; 2007. Sarr MG, Zuidema GD: Splenic Abscess - presentation, diagnosis and treatment. Surgery 1982; 92: 480-85. Green BT: Splenic Abscess: Report of Six Cases and Review of the Literature. Am Surg 2001; 67: 80

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Danuta Neuman and Zygmunt Grzebieniak

References 1. Mangram IA , Horan TC, Pearson LM et al.: Guideline for prevention of surgical site infection. Infect Control Hosp Epidemiol 1999; 20(4): 247-78. 2. Horan TC, Gaynes RP, Mortone WJ et al.: CDC definitions of Nosocomial Surgical Site Infections, 1992: a modification of CDC definitions of Surgical Wound Infections. Inf Control Hosp Epidemiol 1992; 13(10): 606-08. 3. Ortega G, Rhee DS, Papandria JD et al.: An evaluation of Surgical Site Infections by Wound Classification System using ACS-NSQIP. J

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Robert Skibiński, Artur Pasternak, Mirosław Szura, Rafał Solecki, Maciej Matyja and Andrzej Matyja

-48. 13. Halabi WJ, Jafari MD, Carmichael JC: Laparoscopic versus open repair of parastomal hernias: an ACS-NSQIP analysis of short-term outcomes. Surg Endosc 2013; 27(11): 4067-72. 14. Silva E, Szomstein S, Van Koughnett JA: A new combined technique of reinforced parastomal hernia repair. J Am Coll Surg 2014; 219(5): e55-57. 15. Hotouras A, Murphy J, Thaha M et al.: The persistent challenge of parastomal herniation: a review of the literature and future developments. Colorectal. Dis 2013; 15: 202-14. 16. Mirza B, Chand B: Laparoscopic

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Ryszard Kujawski, Michał Mik, Karolina Przybyłowska-Sygut, Ireneusz Majsterek and Adam Dziki

* The study was created at the Medical University in Łódż, grant number 502-03/5-120-02/502-54-047 References 1. World Cancer Research Fund and American Institute for Cancer Research Food. Nutrition, physical activity, and the prevention of cancer: a global perspective. Washington, (DC): American Institute for Cancer Research; 2007. 2. 3. 4. Bamias A, Basdanis G, Xanthakis I et al.: Prognostic factors in

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Gabriel Alexandru Popescu, Tivadar Bara and Paul Rad

Abbreviations ACS: Abdominal Compartment Syndrome IAP: Intra-Abdominal Pressure IAH: Intra-Abdominal Hypertension WSACS: World Society of Abdominal Compartment Syndrome DL: Decompressive Laparotomy OA: Open Abdomen R eferences 1. Malbrain ML. You don’t have any excuse, just start measuring abdominal pressure and act upon it. Minerva Anestesiol. 2008;74:1-2. 2. Marginean CO, Melit LE, Chincesan M, et al. Communication skills in pediatrics – the relationship between pediatrician and child. Medicine. 2017;96(43):e8399

Open access

Erzsébet Lázár, Marius Găzdac, Szende Jakab, István Benedek, Judit-Beáta Köpeczi, Annamária Pakucs, János Ács and István Benedek


Multiple myeloma represents a challenge for hematologists because it has become more frequent at a young age in recent years. This is why autologous stem cell transplantation is included in the standard treatment of myeloma patients. We present the case of a 39-year-old patient who was diagnosed with non-secretory myeloma with double autologous transplantation and underwent neurosurgery for spinal cord compression caused by a plasmocytoma at D5 level. We present the evolution and complexity of this very difficult case.