No abstract

HighlightsPenetration of the visceral peritoneum by a mucinous neoplasm consists the cardinal point in the management and prognosis.Patients with LAMN confined to the muscularis propria after histologic examination of the entire appendix (pTis) have essentially no risk of recurrence.There are no clear guidelines regarding appropriate management of appendiceal LAMNs with positive margins, especially when confined within the serosa.A simple cecectomy is traditionally suggested by some authors, but according to more recent data its necessity is debated.LAMN may rarely recur in the form of a polypoid protrusion into the cecal lumen and this may originate from the buried stump of the appendix on the ground of a positive margin.

assessed using the MedDietScore (range 0-55). During 2011-2012, 2583 out of the 3042 baseline participants attended the 10-year follow-up of the Attica study (15% lost-to-follow-up). The individual CVD risk was estimated with the use of HellenicSCORE, the dietary assessment through the MedDietScore. The observed risk was used in order to investigate the risk estimation of the nested models. Results: The МedDietScore and the HellenicSCORE were significant predictors of the 10-year CVD risk, even after adjusting for several confounders (p<0.05). The misclassification bias of the HellenicSCORE was 13.8%. The MedDietScore was associated with reduced misclassification rates (p<0.001), by explaining 6.1% of the bias. Conclusions: Inclusion of dietary assessment, as well as other lifestyle parameters, could increase the correct classification rates and thus reduce the CVD burden.

The differential diagnosis of indirect inguinal hernia in women can be a challenge to the surgeon as symptoms can vary from chronic pelvic pain to even a palpable labial mass. Indirect inguinal hernia is usually congenital, and a patent canal of Nuck can complicate a hernia with hydrocele. Contents of the hernia sack include small bowel, part of the urinary bladder, or an ovary. This is a case report of an indirect inguinal hernia in a 57-year-old woman presented as a labial mass that caused intermittent urinary retention for a year before she decided to seek medical attention. After a CT scan that confirmed the diagnosis of hernia, the patient underwent a herniorrhaphy with a plug mesh. The sack contained small bowel. After the herniorrhaphy the urinary symptoms disappeared. In conclusion, an inguinal hernia can present as a labial mass causing urinary symptoms without including the bladder or ureter.