Scripta Scientifica Vox Studentium Volume 1, suppl. 1, 2017 ISSN 2535-0471 (print) ISSN 2535-048X (online) MEDICAL UNIVERSITY “PROF. DR. PARASKEV STOYANOV” – VARNA ABSTRACTS OF THE FIFTH BLACK SEA SYMPOSIUM FOR YOUNG SCIENTISTS IN BIOMEDICINE !BSYSB" April 6!9, 2017 Varna CONTENTS CASE REPORTS Kalina Chavdarova, Viktor Urbanchich, Joana Andonova, Stayko Chavdarov, Georgi Guzgunov - AN INFANT WITH CONGENITAL HYPOTHYROIDISM AND A DISAPPEARING TUMOR ___ 15 Elizabet Miladinova, Aleksandra Gerasimova, Stela Petrova, Radina Dimitrova, Kiril Hristozov - MULTIPLE ENDOCRINE NEOPLASIA TYPE 2A "SIPPLE SYNDROME# _______ 16 Greta Georgieva, Tina Traykova, Miroslav Stoykov, Albena Gencheva, Ivan Gonkov - DENTIGEROUS CYST: A CASE REPORT _______________________________________________ 17 Veronika Zhelezova, Ivaylo Minev, Dimitar Dimitrov, Veselin Petrov, Niya Rasheva - WILSON’S DISEАSE IN CHILDHOOD! THE HEREDITARY FACTOR: A CASE REPORT _______ 18 Dinnar Yahya, Antoniya Atanasova, Monika Yaneva, Samuela Krasteva, Petya Petrova - PSOAS ABSCESS AS A COMPLICATION OF CROHN’S DISEASE % A CASE REPORT __________ 19 Ani Dzakova, Ersin Ismail, Deniz Hamidov, Snezhana Stancheva, Plamen Dimitrov - CASE REPORT OF PROPOFOL-INDUCED PULMONARY EDEMA __________________________ 20 Irini Karatsoli, Sezgin Syuli, Simona Nizorkova, Yavor Hinov, Chavdar Bachvarov - ENDOVASCULAR BRONCHIAL ARTERY EMBOLIZATION IN LIFE-THREATING HEMOPTYSIS. A CASE REPORT ______________________________________________________ 21 Yanitsa Dimitrova, Kristina Dimitrova, Hristina Pamukchiyska, Elena Harizanova, Diana Petkova - BIOLOGICAL THERAPY: A RISK FACTOR FOR DEVELOPING TUBERCULOSIS % A CASE REPORT ___________________________________________________________________ 22 Desislav Dobrev, Daniel Rachev, Miroslav Stoykov, Metodi Abadzhiev - TOOTH SUPPORTED OVERDENTURE UTILIZING PINLAY BALL ATTACHMENTS: A CASE REPORT ____________ 23 Ivan Valkadinov, Djuliana Stoilova, Yavor Hinov, Simona Nizorkova, Chavdar Bachvarov - ENDOVASCULAR TREATMENT OF ACUTE ISCHEMIC STROKE ! AN ALTERNATIVE TECHNIQUE ______________________________________________________________________ 24 Lazar Kutin, Elisabeth Bossilkova, Georgi Popivanov, Ventzislav Mutafchiyski - SEVERE CARDIOMYOPATHY IMITATING ACUTE ABDOMEN __________________________________ 25 Djuliana Stoilova, Evgeniya Kalevska, Ivan Valkadinov - CEREBRAL VENOUS THROMBOSIS ____ 26 Boryana Georgieva, Irina Ivanova, Milko Mirchev, Nikolay Georgiev - CARDIAC GASTRIC CANCER IN A PATIENT WITH A BLADDER NEOPLASM: CASE REPORT ___________________ 27 Dessyslava Nikolaeva, Dimo Nikolov, Stela Stanimirova, Veselin Aleksandrov, Merlin Mehmed - Efraim- EXTRAMEDULLARY PLASMACYTOMA OF THE SKULL BASE DEVELOPING INTO MULTIPLE MYELOMA: A CASE REPORT ____________________________ 28 Dragostina Tsocheva, Katerina Marinova, Borislav Petrov, Rumen Nenkov, Radoslav Radev - GIANT PHYLLODES TUMOR-CASE REPORT ___________________________________________ 29 Dimo Nikolov, Dessyslava Nikolaeva, Radi Lukanov, E. Ahmed, Valentin Ikonomov - INFLAMMATORY MYOFIBROBLASTIC TUMOUR OF THE KIDNEYS – CASE REPORT _______ 30 Mladena Radeva, Dimitar Grupchev - IRIDOCYCLECTOMY FOR CILIARY BODY MELANOMA ! UNIQUE APPROACH AND SURPRISING RESULT ______________________________________ 31 Mohamed Swamad, Yanislav Mitkov, Aygulya Akisheva, Dobromir Dimitrov, Chavdar Bachvarov - MULTIDISCIPLINARY APPROACH WITH SURGICAL ONCOPLASTY OF A 46 YO WOMAN WITH BREAST CANCER _________________________________________ 32 Merilin Ivanova, Jovana Kitanovska, Kalina Naydenova, Tatyana Betova, Paulina Milanova - WARTHIN’S TUMOR ! CASE AND REVIEW ___________________________________________ 33 Blagovest Belchev, Konstantin Ganchev, Yosif Gerchev, Preslav Penev - HOFFA FRACTURE IN CHILDHOOD ___________________________________________________________________ 34 Roksana Tsvetanova, Zhenya Marinova, Tsvetan Popov, Yavor Enchev, Bogomil Iliev - COMBINED AUTOGENOUS AND ALLOPLASTIC CRANIOPLASTY IN A 15!YEAR!OLD TRAUMA PATIENT ! A CASE REPORT ______________________________ 35 Dragomir Dragomirov, Meriyan Radeva, Natalia Stomatova , Rostislav Manev - Osteomyelitis ______ 36 Liliya Raeva, Boris Botev, Paola Kulicheva, Veselin Boyadzhiev, Lachezar Marinov - A CASE REPORT OF A CHILD WITH SYSTEMIC JUVENILE IDIOPATHIC ARTHRITIS - A RARE BUT POTENTIALLY DANGEROUS DISEASE ____________________________________ 37 Violeta Dimitrova, Joana Andonova, Viktor Urbanchich, Vesela Zlateva, Maria Dimova - INFECTIVE ENDOCARDITIS IN INTRAVENOUS DRUG ABUSE ! A CLINICAL CASE ________ 38 Alexandar Byankov, Teodor Tsanev, Vasil Ivanov - RARE CASE OF A BLADDER CANCER IN AN 18!YEAR!OLD MALE PATIENT ________________________________________________ 39 Liliya Ilieva, Mira Siderova, Savi Shishkov, Kiril Hristozov - CASE OF EUGLYCEMIC KETOACIDOSIS INDUCED BY SGLT2 INHIBITORS "SODIUM!GLUCOSE COTRANSPORTER 2# IN A DIABETIC PATIENT _____________________ 40 Abdul Shah, Valentina Dimova, Bilal Hejazi - DIFFICULT TREATMENT OF RECURRENT HAEMOPTYSIS IN POLYMORBID LUNGS % A CASE STUDY _____________________________ 41 Miroslav Stoykov, Nina Nyagulova, Trayan Marinov, Maya Doychinova - AN IRRIGATION PROTOCOL USED FOR THE DEVITALISATION PROCESS OF A RIGHT MANDIBULAR CENTRAL INCISOR WITH A MODERATE ABRASION ! A CASE REPORT __________________ 42 Diyana Kyuchukova, Simona Nikolaeva, Dilyana Tonkova, Cvetomir Yankov, Branimir Kanazirev - TAVI!PROCEDURE: A BRAND NEW START FOR A PATIENT WITH CLASS 3 NYHA HEART FAILURE _______________________________ 43 Stefan Stefanov, Mustafa Dzhambazov, Dragomir Ivanov, Gergana Trifonova - DENTAL TRAUMA IN CHILDHOOD. REATTACHING A TOOTH FRAGMENT OF ANTERIOR FRACTURED TEETH ! CASE REPORT ________________________________________________ 44 Tsvetan Popov, Daniel Zhelev, Zhenya Marinova, Roksana Tsvetanova, Ilina Micheva - CASE OF A STAGE IIIB HODGKIN’S LYMPHOMA PATIENT TREATED WITH BRENTUXIMAB ! MODERN CONCEPTS FOR IMMUNOTHERAPY _________________ 45 Ahmed Ahmed, Nalyan Aliadinova, Borislav Todorov, Figen Mustafa, Margarita Trifonova - A CASE REPORT OF METASTATIC BREAST CANCER MANAGED WITH HORMONE THERAPY ________________________________________________________ 46 Yavor Kyumyurdzhiyski, Kaloyan Dobrev, Sibel Yuzeirova, Kolyo Karahristov, Valentina Dimitrova - RESPIRATORY INFECTIONS IN IMMUNOCOMPROMISED PATIENTS ____________________ 47 Aizaz Tariq, Georgi Davidov, Lilyana Petkova, Nikolay Sapundzhiev - CARCINOMA OF THE NASAL VESTIBULE _________________________________________________________ 48 Velina Kerekovska, Evelina Zlatanova - CLINICAL SIGNIFICANCE OF ELEVATED MACROPROLACTIN LEVELS IN PATIENTS WITH HYPERPROLACTINEMIA. CASE REPORT _____________________________________________________________________ 49 Veneta Yakimova, Maria Dimova, Krasimira Nenova - INSULINOMA_________________________ 50 Desislava Nalbantova, Yasen Petrov, Ivona Zhekova, Simona Mileva, Tsvetana Yordanova - PNEUMOCYSTIS CARINII PNEUMONIA IN IMMUNOSUPPRESSED PATIENTS ____________ 51 Desislava Nalbantova, Yasen Petrov, Ivona Zhekova, Simona Mileva, Tsvetana Yordanova - PYODERMA GANGRENOSUM % A FEASIBLE OPTION IN THE DIFFERENTIAL DIAGNOSIS OF SOFT TISSUE GANGRENE IN DIABETIC PATIENTS? _____________________ 52 Kalina Naydenova, Hristo Milev, Katya Todorova, Beatrice Pancheva, Nadya Docheva - PRIMARY EMPTY SELLA SYNDROME: AN UNUSUAL PRESENTATION OF PANHYPOPITUITARISM __ 53 Maneesha De Silva, Simona Angel , Kremen Tsvetkov, Emil Kovachev, Atanas Alexandrov - PLACENTA ACCRETA % A CASE REPORT _____________________________________________ 54 Doychin Nikolov, Boryana Georgieva, Deyan Anakievski, Rostislav Marinov, Inna Gocheva, Viktor Nikolov - EARLY DISTRIBUTION OF SQUAMOUS PENILE CARCINOMA _____________ 55 Joana Andonova, Violeta Dimitrova, Kalina Chavdarova, Maria Dimova, Vesela Zlateva - ADULT!ONSET STILL’S DISEASE ! A CLINICAL CASE ___________________________________ 56 Vasil Kitanov, Pamela Georgieva, Velichko Penchev, Orlin Asenov - DILEMMAS IN THE CARDIO! VASCULAR TREATMENT APPROACH. ANTICOAGULANT, ANTIPLATELET DRUG OR A COMBINATION? _____________________________________________________________ 57 Mariya Levkova, Dimitrina Konstantinova, Tanya Kadiyska, Ivan Donev - INDIVIDUALIZED HORMONAL THERAPY IN PATIENTS WITH BREAST CANCER __________________________ 58 Teresa Buitrago García, Niarah Ahmad, Maria Dimova, Branimir Kanazirev - LEFT VENTRICULAR NON!COMPACTION CARDIOMYOPATHY ________________________ 59 Veselin Petrov, Veselin Petrov, Desislava Ivanova - COMPLICATION AFTER CARDIAC CATHETERIZATION IN A PATIENT WITH IHD _______________________________________ 60 Hristo Draganov, Kristina Dimitrova, Hristina Pamukchiyska, Elena Harizanova, Diana Petkova - LUNG TRANSPLANTATION OF A PATIENT WITH PULMONARY HYPERTENSION _________ 61 Rene-Alexander Starick, Laura Verna Fierro, Dilyana Tonkova, Stanislava Ivanova, Dobrin Kalchev - SUCCESFUL TREATMENT OF A BIDIRECTIONAL SHUNT - A CASE REPORT _______________ 62 Viktor Urbanchich, Kalina Chavdarova, Violeta Dimitrova, Stayko Chavdarov, Georgi Guzgunov - AN INFANT WITH SPONTANEOUS TUMOR REGRESSION ______________________________ 63 Johanna Loehr, Faidra Marazak, Mara Genovefa Marazak - RH INCOMPATIBILITY IN EARLY MEDICAL ABORTION, A MISOPROSTOL CASE REPORT ________________________________ 64 Simona Panteleymonova, Elizabet Miladinva, Aleksandra Gerasimova, Tatyana Cvetkova, Kalina Stoyanova - TOXOCAROSIS "LARVA MIGRANS VISCERALIS# IN ADULT PATIENTS ___ 65 Catherina Shirokova, Savi Shishkov, Velina Kerekovska, Mila Boyadzhieva, Kiril Hristozov - A CASE OF CONGENITAL HYPOPITUITARISM ________________________________________ 66 Zekie Kasimova, Hristo