Low-grade mucinous growths (MT) with the appendix are exceptional types of cancer. The most formidable issues of these tumors will be mucin lodging from the peritoneum using development of peritoneal pseudomyxoma. At the moment, there are no individual clinical * pathomorphological group and treatment method method of these types of malignancies. This example is actually complex by the fact that cancer with the appendix is not preoperatively thought most of the time and MT is detected after appendectomy with regard to serious appendicitis or even the difficulties. Thus, analysis involving sufferers can be worsened.Uterine leiomyoma (Ulti level marketing) is really a smooth muscles cancer developing in 30% of girls regarding reproductive : get older. This kind of neoplasm is easily the most common harmless growth regarding female sex organs. Uterus is easily the most recurrent localization involving growth. Nonetheless, Ulti level marketing might be discovered within outside genitals, ovaries, vesica as well as urethra. Despite the civilized character, Ulti-level marketing can be characterized by metastasizing as one of the primary qualities regarding malignant neoplasms. The first time, Steiner explained it inside 1939. The article author found equivalent histological structure see more associated with pulmonary and uterine neoplasms. . l . m metastases in cuboid, pores and skin, mediastinum, muscle tissue, lymph nodes, omentum and also retroperitoneal space tend to be scarcer. On this manuscript, we report complex management of harmless metastasizing uterine leiomyoma followed by bronchi metastasis.Two-stage surgical treatment of the individual along with variety I intense aortic dissection minimizing arm or leg malperfusion is documented within the manuscript. Iced hippo shoe method had been used. A new 49-year-old man has been hospitalized using a diagnosis of «Debakey variety We acute aortic dissection» inside 6 a long time right after symbol of the sickness. With admission, paleness along with pins and needles involving equally reduced arms and legs using a violation involving productive actions had been observed in addition to pain syndrome. Chest CT revealed bogus lumen thrombosis inside distal aorta as well as stenosis associated with aortic bifurcation around 80% along with stenosis with the proper widespread iliac artery around 80%. Contemplating critical decrease arm or ischemia, axillo-bifemoral sidestep surgery ended up being done in the very first point. Each day after, the patient experienced replacing ascending aorta, aortic mid-foot and also descending thoracic aorta. E-vita Open In addition № 24 a mix of both prosthesis as well as iced hippo trunk method under hypothermia 25o Chemical along with bilateral antegrade cerebral perfusion were chosen. CPB time was 285 minute, aortic cross-clamping time – 180 min, circulatory charge — 120 min. Postoperative period of time ended up being unadventurous, ICU-stay : 5 days. The patient ended up being discharged following 20 days and nights. Manage CT verified false lumen thrombosis through the entire stent-graft. Follow-up review soon after 12 months unveiled simply no issues.Medical procedures regarding post-traumatic right-sided phrenic hernia is a member of particular complex complications due to topographic and also biological functions. Morbid obesity coupled with type 2 diabetes variety The second is among the major elements complicating any kind of surgery thoracic as well as belly surgical procedure and additional rehabilitation.