Neuroendocrine tumors (NETs) are considered the most frequent that affect small bowels. Despite diagnostic modalities, diagnosis of bowel NETs is not straightforward and poses a high challenge to physicians, due poor accessibility this area patient's non-specific presentations. We reported case 60-year-old male patient, who presented with severe postprandial epigastric pain one-month duration, ...

58 CASE PRESENTATION A 73-year-old African-American woman was admitted to the hospital with a two-day history of epigastric pain. The pain was described as progressively sharp in character without radiation, aggravating or alleviating factors. She complained of nausea and vomiting but denied any constipation, diarrhea or weight loss. On physical examination the patient was found to have normal ...

BACKGROUND Arterial dissection is defined as the cleavage of the arterial wall by an intramural hematoma. Reports of dissection of the celiac and/or superior mesenteric artery are rare; as far as we know, only 24 cases of spontaneous isolated celiac trunk dissection, and 71 cases of spontaneous isolated superior mesenteric artery dissection have been reported. CASE REPORT The case presents a ...

Mercy Catholic Medical Center Darby, PA dr . sedhai@ gmail . com A 50-year-old man presented to the emergency department with sudden onset of hematemesis. He reported a 2-month history of epigastric pain and foul-smelling diarrhea. He had been drinking half a pint of vodka a day for 15 years. Physical examination revealed epigastric tenderness. Results of laboratory testing, including serum lip...

A 52-year-old woman presented with an 8-month history of epigastric pain, nausea, and weight loss. One year before, she was diagnosed with breast cancer. During the postoperative chemotherapy, she developed epigastric pain and nausea. As a result, she gradually lost 12 kg of her body weight. We performed upper gastrointestinal endoscopy, which revealed mild erosive gastritis. After the treatmen...

The potentially serious complications of paraoesophageal hiatus hernias are known but its counterpart the sliding hernia, is thought to be more benign in nature. We describe a 72 year old female admitted with epigastric pain after gorging on her Christmas meal, who proved a diagnostic difficulty for both the medical and surgical registrars and was found to have a perforated incarcerated sliding...

A 56-year-old woman presented with epigastric pain for 5 days after eating fish. She had no history of any disease or medication. Her vital signs were normal. On examination, the epigastric region was tender. No abnormalities were found in the laboratory tests. Abdominal ultrasonography was normal. Endoscopy showed a fishbone stuck in second part of the duodenum (Figure 1). The oesophagus and s...

UNLABELLED We report a prospective study of 42 cases of primary uncomplicated umbilical and epigastric hernia operated by laparoscopy with a 1 year mean follow-up. The purpose of our study is to investigate the contribution of laparoscopy in the treatment of in terms of results in the short and medium term. Early surgical morbidity was 14.3%. There was no mortality. At 6 months of the intervent...

Taeniasis is a helminthic infection endemic in southeast Asia, including Taiwan. Recent studies suggest that Asian Taenia is a new subspecies of Taenia saginata and has been renamed as Taenia saginata asiatica. It is usually asymptomatic or associated with only mild gastrointestinal symptoms. We report the case of a 52-year-old woman with acute epigastric pain and vomiting. Her levels of amylas...