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34-year-old woman, 16 weeks pregnant, with a personal history of cervical conization and previous cesarean section. Consultation for discomfort in the right groin region and signs of inflammation in the area, without a clear tumor. She refers that in the first pregnancy she presented the same symptoms. In the intergestational period she has not noticed these symptoms. On physical examination, the 16-week pregnant abdomen did not reveal clear signs of hernia, although there was slight pain on palpation. It was decided to request a pelvic ultrasound to rule out the presence of hernia or other soft tissue lesions in the groin region. [ABSTRACT FROM AUTHOR]

A 87-years-old women comes to the emergency department due to nausea and fecal vomiting of two or three days of evolution, without deposition. On physical examination, the abdomen is soft and depressible, without peritoneal irritation. On palpation, she refers abdominal discomfort. In the blood analysis, she presents leukocytosis with neutrophilia, and a increase of LDH, amylase, and PCR. Abdominal X-ray shows a big distension of the large bowel. An abdominal CT with intravenous contrast is requested due to the suspicion of acute abdominal pathology. It confirmes the colon distension, and permits observing a sigmoid neoplasm causing secondary intussuception and bowel obstruction. [ABSTRACT FROM AUTHOR]

A 90-years-old man comes to the emergency department with diffuse abdominal pain and fever three days. On physical examination, the abdomen is soft and depressible with air-fluid sound present and bilateral reductible inguinal hernias. A mass is palpated at the level of the roght hypochondrium with a positive Murphy's sign whitout signs of peritoneal irritation. An abdominal CT with intravenous contrast is requested due to the suspicion of acute abdominal pathology, observing cholelithiasis and a markedly distended gallbladder with torsion. [ABSTRACT FROM AUTHOR]

83-year-old woman with palpable lesion on the left breast. Mammography shows a single nodule with well-defined borders, and ultrasound a complex cyst with solid areas that biopsy resulted in an encapsulated papillary breast carcinoma. Two axillary lymph nodes were affected. [ABSTRACT FROM AUTHOR]

A case study is presented of a 72-year-old woman, asymptomatic, with prior patients with rheumatoid arthritis and hepatitis C virus positive. Right mammogram identifies a fibrous parenchyma broglandular of intermediate density without associated signs of malignancy. She was treated for typical extracapsular breast prosthetic rupture.

The article discusses Stercoraceous proctitis. A life threatening entity, which includes dependent for life activities daily with a history of ischemic heart disease, stroke ischemic and previously operated on for lumbar neuroma, in treatment with antihypertensive and oral anticoagulants and subsequently presents a worsening of the condition general, fever and multiorgan failure, later dying.