Endometriosis is the presence of endometrial tissue outside the uterine cavity. It is mostly seen in the pelvis but can also affect the extrapelvic areas of the body.Gastrointestinal tract is the most frequently affected extrapelvic site but rarely involves the appendix. When it occurs, may mimick appendicitis. We presented a childbearing-age woman suffering from right lower quadrant pain. Her complaint was repeating cyclically for 8 months. Abdominal ultrasound disclosed wall thickening at tip of the appendix and small amount of fluid around it, suggesting distal appendicitis. Computed tomography depicted approximately a 1 cm nodulary mass on tip of the appendix. Then appendectomy was performed and histopathological examination yielded appendiceal endometriosis. She was recovered well and free of her symptom. This report emphasizes the isolated appendiceal endometriosis, which can cause right lower quadrant pain and mimick appendicitis.

The importance of the chosen statistical methods in medical research: study over modelling in estimation superficial varicose vein risk factors in young male population Tıbbi araştırmalarda seçilen istatistiksel yöntemlerin önemi: genç erkek popülasyonda yüzeysel variköz ven risk faktörlerinin kestirimi üzerine modelleme çalışması

Aim: The study aims to investigate the risk factors of patients with femoral hernia as well as factors that affect the hospitalisation process, morbidity and mortality, particularly in terms of gender. Material and Methods: A total of 65 femoral hernia surgeries were performed in 29 Mayıs Public Hospitals between January 1, 2015 and June 30, 2019. Six patients with incomplete or unclear data were excluded, and the data of 59 patients were analysed. Percentage and frequency were used for discrete variables, whereas mean and standard deviation for continuous variables. Student's t-test was used for independent variables according to the distribution status, whereas chi-square test was used for dichotomous variables, and the results for binary logistic regression were obtained. Results: Males were significantly more likely to have femoral hernia risk during old age [66.11years vs. 52.68 years (p=0.004), adjusted odds ratio (AOR): [0.87 (0.784, 0.969)(p= 0.011)]. In student's t-test, male patients had shorter length of hospital stay (LOS). Hovewer the p value was found 0.79. In the binary multiple logistic regression for LOS value; In terms of gender, body mass index (BMI, kg/m2), age and complications; P value was found as 0.07 and ; AOR was found 2.2. With this result; The females have got the more LOS value than men as statistichally, for p=0.1 value. Conclusion: Femoral hernia frequently occurs in women; however, we found that its higher incidence is also can be found in men during old age, and after surgery, men are generally discharged earlier than women.

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BACKGROUND:The degree of damage presents a pressing issue in determining trauma severity. Various trauma-scoring systems, such as the injury severity and revised trauma scores, are used worldwide. In this study, we aimed to evaluate the functionalities of these two trauma scoring systems, which are presently used frequently and have scientifically evolved at the state hospital level. METHODS:Following approval from the ethics committee to conduct clinical studies with retrospective archive screening, data between January 1, 2012, and December 31, 2017, were retrospectively analysed for determining the factors affecting mortality in all patients diagnosed with traumatic injury in 29 Mayıs State Hospital. Incomplete or unclear data were excluded from this study. Mean and standard deviation were used for continuous variables; percentage and frequency values were used for binary variables. For evaluating continuous variables, Student's t-test or Mann-Whitney U-test was used in independent groups based on their distribution status. Dichotomous variables were evaluated using the chi-square test. The results and significant in univariate analyses were evaluated again by the linear and binary logistic regression model. RESULTS:Mean age of all patients was 37.53±14.47 years [male (35.68±13.9) versus female (40.61±15.1) (p=0.116)]. Mean injury trauma score for the general population was 3.18±8.46. No dissimilarity was noted regarding gender for the injury severity score (ISS) [(3.93±10.49 versus 1.91±2.34) (p=0.727)]. Regarding age, for revised trauma score (RTS), no statistical significance was noted [(7.60±0.91 versus 7.81±0.16) (p=0.207)]. Regarding the injury mechanism, we detected a difference between the two trauma scores; both ISS and RTS also had statistical significance. The results were found for ISS [penetrant (6.56±6.47) versus blunt (2.45±8.68) (p=0.002)] and for RTS [penetrant (7.41±0.54) versus blunt (7.74±0.79) (p=0.001)]. After the final statistics with logistic linear regression, the respiratory rate was statistically significant for penetrant injury [AOR 0.22 (0.001, 0.47) (p≤0.05)]. In the detailed subanalysis for RTS score components, respiratory rate was also significant in moderate traumas [AOR 0.22 (0.001, 0.47) (p=0.004)]. CONCLUSION:Both ISS and RTS are nonsignificant in all moderate injury types. On the other hand, respiratory rate is an important marker, especially in penetrant moderate injuries.