[Diagnostic and therapeutic problems in ulcerative colitis].

This article discusses two specific atypical cases of ulcerative colitis encountered in the Inpatient Internal Diseases Department at Czerniakowski Hospital, Warsaw, Poland. Ulcerative colitis usually manifests itself primarily in the gastrointestinal tract, what made these cases exceptional was the involvement of multiple organs which complicated the diagnosis. The first of this cases presented a rare combination of symptoms of ulcerative colitis, cytomegalovirus infection, and polychondritis.

[Coexistence of von Willebrand's disease with mitral valve prolapse].

The authors present the case of mitral valve prolapse. In a young woman with three-year history of systematically treated epilepsia mitral valve prolapse with a spurious string within left ventricle has been diagnosed echocardiographically in coincidence with the symptoms of haemorrhagic diathesis of von Willebrand type in form of haemoptysis and or/massive haemorrhages in mouth occasionally being preceded by heart rhythm disturbances. No local changes have been observed in otorhinolaryngologic examination, bronchoscopy and gastroscopy.

[Barrett esophagus diagnosed after appendectomy in a patient with diabetes mellitus].

A pathogenetic outline of oesophageal inflammatory lesions with special emphasis on Barrett's oesophagitis has been presented. As recorded in a history of a 65-year old patient at first the stenocardia-mimicking pains occurred a few days after appendectomy. Gastrobulboscopy performed (after coronary insufficiency had been excluded) revealed extensive inflammatory and erosive lesions of the oesophagus and multiple ulcerations of the duodenum.