MRI plays important roles in endometrial and cervical cancer assessment, from detection to recurrent disease evaluation. Endometrial cancer (EC) is the most common malignant tumor of the female genital tract in Western countries. EC patients are divided into risk categories based on histopathological tumor type, grade, and myometrial invasion depth. EC is surgically staged using the International Federation of Gynecology and Obstetrics (FIGO) system. Since FIGO (2009) stage correlates with prognosis, preoperative staging is essential for tailored treatment. MRI reveals myometrial invasion depth, which correlates with tumor grade and lymph node metastases, and thus correlates with prognosis. Cervical cancer (CC) is the second most common cancer, and the third leading cause of cancer-related death among females in developing countries. The FIGO Gynecologic Oncology Committee recently revised its CC staging guidelines, allowing staging based on imaging and pathological findings when available. The revised FIGO (2018) staging includes node involvement and thus enables both therapy selection and evaluation, prognosis estimation, and calculation of end results. MRI can accurately assess prognostic indicators, e.g., tumor size, parametrial invasion, pelvic sidewall, and lymph node invasion. Despite these important roles of MRI, radiologists still face challenges due to the technical and interpretation pitfalls of MRI during all phases of endometrial and cervical cancer evaluation. Awareness of mimics that can simulate both cancers is critical. With careful application, functional MRI with DWI and DCE sequences can help establish a correct diagnosis, although it is sometimes necessary to perform biopsy and histopathological analysis.

Approximately 25% of HCC cases diagnosed among patients included in a surveillance program were beyond the Milan criteria. Child-Pugh B/C and AFP ≥ 100 ng/mL at diagnosis were associated with program failure. However, Child-Pugh B at entry and development of liver-related complications during follow-up can be early predictors of failure.

A 80-year-old female with hypertension and aortic valve disease, as a past medical history, who went to the emergency department with abdominal pain located in right lower quadrant and leukocytosis.The sonographic exploration identified a formation adjacent to the uterus of 44 x 36 mm, heterogeneous, probably related to a right adnexal mass, so she was admitted onto the gynecology service.A multidetector computed tomography (TCM) revealed a collection with air inside, adjacent to the uterus, and a distended and enhancement of the right tube`s walls. It caused endometrial retention and there was an air bubble in the uterine cavity. These findings correspond to salpingitis and tuboovarian abscess. There was a segment of the adjacent sigma with walls slightly thickened and diverticula.The patient was diagnosed with perforated diverticulitis with an abscess in the broad ligament. The collection underwent drainage and intravenous antibiotics were prescribed with clinical and radiology improvement. DISCUSSIONDiverticular disease is a common entity whose incidence increases with age, representing, the 50-60% of the people who are 80 or over. The stage II classification of Hinchey et al shows the formation of retroperitoneal or pelvic abscess Tuboovarian abscess as unusual presentation of tubarian fistula secondary to sigmoid diverticulitis

García-Rayado et al. Dietary Fat Acute Pancreatitis Spain MUFA intake had significantly more local complications and moderate-to-severe disease; this significance remained for moderate-to-severe disease when obesity was added to the model. Conclusions: Differences in dietary fat patterns could be associated with different outcomes in AP, and dietary fat patterns may be a pre-morbid factor that determines the severity of AP. UFAs, and particulary MUFAs, may influence the pathogenesis of the severity of AP.

A 67-year-old woman presented in the emergency room with abdominal pain for 2 hours. Physical examination showed abdominal distension and diffuse pain without signs of peritoneal irritation.A plain abdominal radiography showed distension of cecum located ectopically in the left upper quadrant, with little aeration of the distal colon. Given these findings, an intravenous contrast enhanced multidetector computed tomography (MDCT) was performed (Figs. 1-4). The cecum was markedly enlarged and dilated, twisted and inverted, occupying the left hypochondrium. The terminal ileum was twisted also. These results were very suggestive of loop type cecal volvulus. DISCUSSIONCecal volvulus is an uncommon condition caused by the turning round of the cecum around its own mesenteric axis. A 360° rotation of the mesenteric pedicle of the ileo-colic artery is generally produced. This causes strangulation with occlusion of the two intestinal edges and risk of vascular damage. Bird's beak sign (yellow arrow) was identified. This depicted an abrupt transition between the twisted segment, which was collapsed, and the obstructed segment, which was dilated.