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Przeglądanie według Autor "Balawender, Krzysztof"

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    A renal abscess in the isthmus of horseshoe kidney
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Balawender, Krzysztof; Orkisz, Stanisław; Biela, Przemysław; Sęk-Mastej, Anna
    Horseshoe kidney (HSK) is the renal fusion anomaly caused by disturbances in embryonic development when the kidneys are fused together in the lower or upper pole forming an isthmus. The most common disorders in urinary tract related to horseshoe kidney are ureteral pelvic junction obstruction, urinary tract infection and urolithiasis. In our study, we present a rare case of an abscess in the isthmus of horseshoe kidney after extracorporeal shockwave lithotripsy on the right kidney was performed. The patient has had recurrent urolithiasis and underwent 4 treatments on the left kidney in the past without complications.
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    Anomalous origin of the left vertebral artery from the arch of the aorta
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Jasiewicz, Maria; Sajdak, Piotr; Sopel, Aleksandra; Strzępek, Kamil; Ziajor, Seweryn; Pliszka, Anna; Balawender, Krzysztof
    Introduction. Although there are lots of varieties of aorta arch, they seem to appear relatively rarely. Anomalies of aortic arch departures are mainly concerned with its location, course, the place of departure and number of its main branches. However, they warrant attention due to their importance in operative, diagnostic, and endovascular procedures. Aim. We want to present here a case of a female cadaver with rare aortic arch origin of the left vertebral artery. The aim of this article is to complete the frame of anomalies in aortic arch and to explore rare variability shown in this specific case. Description of the case. The present report describes an anomalous case of the left vertebral artery arising from the aortic arch between the left common carotid artery and the left subclavian artery in a female cadaver during dissection in an anatomical laboratory. Aortic origin of the vertebral artery is a rare anatomic variant. Conclusion. Thorough knowledge of anomalous origin is important for patients who undergo operation of an aortic arch or inferior part of the neck. Normally, the vertebral artery arises from the first part of the subclavian artery on both sides.
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    Influence of Adriblastin and Bleomycin on Wistar rat mothers and fetus development
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2018) Sęk-Mastej, Anna; Galiniak, Sabina; Krawczyk-Marć, Izabela; Balawender, Krzysztof; Szymczak, Artur; Kaniewski, Maciej; Leksa, Natalia; Biesiadecki, Marek; Orkisz, Stanisław
    Introduction. Gestation is a very sensitive time both to mother and child. Any substance, factor, or environmental condition disturbing homeostasis may cause congenital defects, anomalies or even death. Teratology evaluates those potential factors and their influence. Also, medicinal products used during pregnancy may be teratogenic. Adriblastin, also known as Doxorubicin, and Bleomycin are widely used cytostatic drugs in oncology. Aim. Aim of this study was to evaluate the embryotoxic effects of Doxorubicin and Bleomycin in an animal model. Materials and methods. Fertilised Wistar rat females were given each drug intraperitoneally between the 8th and 15th gestation day, and compared to control group receiving placebo (distilled water, 0.9% NaCl). Another group received acetyl salicylic acid, as a model, well known teratogen. Changes in mothers’ weight from baseline, implantation of embryos, any discrepancies in mothers wombs and health as well as defects in fetuses were evaluated and compared. Fetus skeletons were stained by Dowson’s method to visualise bone defects. Results and conclusion. Both Adriblastin and Bleomycin were teratogenic, producing significantly more embryo absorptions, and fetal defects compared to placebo. The effects of the two cytostatics were similar to the model teratogen acetyl salicylic acid.
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    Urolithiasis due to renal dystopia and vascular anomalies
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2021) Pliszka, Anna; Kłos, Michał; Możdżeń, Klaudia; Balawender, Krzysztof
    Introduction. Variations in the urogenital vascular anomalies in the abdomen are common. However, they warrant attention due to their importance in operative, diagnostic, and endovascular procedures. Aim. The aim of this article is to show an example of a patient with rare kidney and vessels anomalies. We want to prove that those anomalies contributed to development of urolithiasis in this case. Description of the case. During dissection of abdomen in a female cadaver, unique vascular anomalies and a position disorder of both kidneys were observed. Conclusion. Vessel abnormalities were congenital and appeared simultaneously with renal dystopia. Both anomalies could contribute to stone formation and nephritis. Understanding of the urogenital anatomical variations and their relations to adjacent structures is significant during surgical and radiological procedures.
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    Wunderlich syndrome – report of a rare case with comments on clinical implications
    (Publishing Office of the University of Rzeszow, 2024-09) Krowiak, Karolina; Krowiak, Anita; Rajda, Sebastian; Palak, Artur; Balawender, Krzysztof
    Introduction and aim. Spontaneous renal hemorrhage, known as Wunderlich syndrome, is a rare clinical condition that occurs without any history of trauma. The most common causes of this syndrome are both benign and malignant renal tumors. The treatment strategy is determined based on the patient’s hemodynamic stability. Description of the case. We report a case where a patient was admitted to the emergency department experiencing persistent pain in the right flank for three days. A diagnosis of spontaneous renal hemorrhage, secondary to an angiomyolipoma, was established through CT imaging. In this case study, we detail the diagnostic process and management of a patient who, due to the absence of hemodynamic instability, did not require surgical intervention. Instead, the patient was monitored and managed with conservative treatment. Conclusion. This case highlights the importance of prompt diagnosis, implementation of appropriate treatment, and the relevance of active follow-up in hemodynamically stable patients receiving conservative treatment.

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