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Pol. Merkur. Lek (Pol. Med. J.), 2015, XXXIX/232: 231-233 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2015, XXXIX/232: 231-233

Title: Treatment failure as a consequence of the diagnostic difficulties in a 52-year-old patient treated for the pancreatic abscess 

Authors: Pawłowski W, Dorobisz T, Ziomek A, Leśniak M, Chabowski M, Janczak D.

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Treatment failure as a consequence of the diagnostic difficulties in a 52-year-old patient treated for the pancreatic abscess


Pawłowski W1, Dorobisz T1, Ziomek A1, Leśniak M1, Chabowski M1,2, Janczak D1,2.

1Department of Surgery, 4th Military Clinical Hospital, Wroclaw, Poland; 2Department of Clinical Proceedings, Faculty of Health Science, Medical University of Wrocław, Poland

Hodgkin Lymphoma (HL) is a neoplastic disease of the lymphatic system, primary involving lymph nodes and extranodular organs. Despite successful combined chemotherapy, a proper and prompt diagnosis remains a difficult challenge. The case report documents the case of a 52-year-old patient, who had been diagnosed in various internal medicine wards for nonspecific diseases during last two years. Due to the worsening of patient's general condition and suspected inflammatory, probably purulent, abdominal process, he was operated twice. Unexplained symptoms of the uncertain origin resulted in the further lack of successful diagnosis and therapy. The patient died from multiple organ failure on the 2nd day after the second operation. The final histopathological and immunohistochemical examination of the liver biopsy revealed the primary cause of death, i.e. Hodgkin lymphoma. The thorough analysis of the patient's documentation revealed a full-featured image of the classic HL. A special emphasis was placed upon misleading symptoms and difficulties in correct interpretation of more sophisticated diagnostic methods. The significant features of these patients can provide sufficient guidance to proper diagnosis and treatment of this rare disease.

Key words: Hodgkin’s lymphoma, lymph nodes, fever, hepatic tumor

Pol Med J, 2015; XXXIX (232); 231–233