Background: Hypertriglyceridemia (HTG) is a well-established cause of acute pancreatitis often leading to significant morbidity, mortality, and healthcare burden. This study aimed to describe the rate, reasons, and predictors of HTG-induced acute pancreatitis (HTG-AP) in the USA.Methods: This retrospective study analyzed the Nationwide Readmissions Database (NRD) for 2018 to determine all adults (≥ 18 years) readmitted within 30 days of an index hospitalization of HTG-AP. Hospitalization characteristics and adverse outcomes for 30-day readmissions were highlighted and compared with index admissions of HTG-AP. Furthermore, independent predictors for 30-day readmissions of HTG-AP were also identified. P values ≤ 0.05 were considered statistically significant. Results:In 2018, the rate of 30-day readmission of HTG-AP was noted to be 13.5%. At the time of readmission, AP (45.2%) was iden-tified as the most common principal diagnosis, followed by chronic pancreatitis (6.3%) and unspecified sepsis (4.8%). Compared to index admissions, 30-day readmissions of HTG-AP had a higher proportion of patients with Charlson Comorbidity Index (CCI) scores ≥ 3 (48.5% vs. 33.8%, P < 0.001). Furthermore, we noted higher rates of inpatient mortality (1.7% vs. 0.7%, odds ratio (OR): 2.55, 95% confidence interval (CI): 1.83 -3.57, P < 0.001), mean length of stay (LOS) (5.6 vs. 4.1 days, OR: 1.5, 95% CI: 1.2 -1.7, P < 0.001), and mean total healthcare charge (THC)

Testicular liposarcoma is a very uncommon pathology associated with testicular cancer. 1 Paratesticular soft tissue tumors are rare entities with malignant subtypes accounting for 30% of cases. 2 Often misdiagnosed, testicular liposarcoma must be considered in the differential diagnosis of a groin mass. 1 There are only few cases of the giant testicular liposarcoma of more than 10cm reported in the literature. We present the case of a 62yr old male who presented to urology for a mass in the groin which was thought to be an inguinal hernia. The patient had some associated testicular pain therefore an ultrasound was performed identifying a 7.1 x 1.5cm mass. He underwent a left orchiectomy with removal of the associated mass which showed a well differentiated liposarcoma of a sclerosing variant. The surgical margins were negative however; the patient did undergo a metastatic workup with a CT of abdomen and pelvis that was unremarkable.