It is important to highlight in the GI literature this as a benign entity that doesn’t cause signs and typically will not warrant unpleasant diagnostic or healing interventions.Celiac artery dissection is normally an inconspicuous reason for severe stomach. Spontaneous celiac artery dissection is most often associated with aortic dissection, and thus isolated spontaneous celiac artery dissection is uncommon. Herein, we provide a case of celiac artery dissection with no aortic participation. This case emphasizes the significance of including such an ailment into the differential analysis of patients providing with severe abdomen.A 67-year-old girl with epigastralgia was known our medical center. The patient had undergone hysterectomy, bilateral oophorectomy, omentectomy, and radical pelvic and para-aortic lymph node dissection on her ovarian disease 6 many years prior to. Inspite of the intestinal decompression therapy underneath the presumed diagnosis of adhesive ileus, computed tomography scans taken 3 days following the start of epigastralgia showed marked dilatation of this Medical Doctor (MD) small intestine and an oval high-density mass, that is, thrombi, into the right femoral vein. Aggravation of ileus because of the thrombi into the femoral vein made us to deal with the patient with surgery. Intraoperative conclusions revealed that the terminal ileum was strangulated by a gap involving the subjected right external iliac vein and artery apparently created by pelvic lymph node dissection. Distal ileum strangulated by the space, but, showed no ischemic modification without any operatively available peritoneum left all over external iliac vein. To prevent the pulmonary embolism as well as the recurrence of the form of ileus because of both the thrombi additionally the persistent space, we introduced the strangulated ileum with an easy slice associated with the exterior iliac vein without vein reconstruction. The in-patient recovered uneventfully and was discharged in the 13th day after procedure. The patient is really with nominal correct leg edema. In this case, that is, inner hernia caused by external iliac vessels with thrombi in the femoral vein and no leg edema, an easy slice of the external iliac vein without vein repair is a feasible treatment option.Gaucher condition is a rare genetic condition caused by the scarcity of acid β-glucosidase to successfully catalyze the degradation of glucosylceramide to glucose and ceramide. We report right here the truth of a 31-year-old male Japanese patient with Gaucher infection who switched from enzyme replacement therapy (ERT) to substrate reducing treatment (SRT). Liver dysfunction ended up being identified at a routine medical checkup, as well as the patient had been labeled our medical center with “idiopathic liver condition.” Medical laboratory tests indicated thrombocytopenia and splenomegaly, which are Somatostatin Receptor peptide characteristic signs and symptoms of Gaucher illness. To definitively diagnose Gaucher illness, a bone marrow biopsy and acid β-glucosidase activity dimension were performed; the results supported an analysis of Gaucher infection. This instance emphasizes that it is feasible for regular medical checkups in grownups to guide into the diagnosis of uncommon genetic problems. The patient underwent ERT treatment with imiglucerase for 5 years; the platelet matter quickly enhanced therefore the spleen size quickly reduced, suggesting a beneficial response to the medicine. But, the individual progressively felt the burden of browsing medical center for 2 h of infusion ERT every 14 days. Consequently, it was jointly determined which he should switch from ERT to SRT with an oral medication. This switch had been effective without any deterioration of laboratory information. This instance report could be the first to explain a Japanese Gaucher condition patient treated with eliglustat for >2 years. We revealed that SRT is a well-tolerated and effective choice for the treating Gaucher condition.Gastrointestinal stromal tumor (GIST) is considered the most prevalent mesenchymal tumor encountered in patients with neurofibromatosis kind we (NF1). This organization is seldom reported in black African adult customers. Clinical signs such abdominal discomfort, intestinal bleeding, and palpable stomach nodules may subscribe to the diagnosis of GIST. Nevertheless, these medical indications could also suggest the clear presence of other solid abdominal tumors such a neurofibrosarcoma that is an intestinal complication of NF1. The immunohistochemistry staining associated with resected structure is mandatory that enables Lab Automation setting up a correct diagnostic of GIST. The immunohistochemistry is also a challenging method in African countries with minimal resources. Herein, we report a case of numerous abdominal involvement of GIST connected with NF1 disclosed by a recurrent abdominal bleeding in a black African person patient. The GIST diagnosis was suspected on a computed tomography scan images and laparotomy results, that have been confirmed by histopathological and immunochemistry exams associated with the resected nodules. The immunohistochemistry staining regarding the muscle ended up being positive for CD34 and CD117 showing the existence of GIST in black colored African patient with NF1. The surgical procedure was consisted of a double abdominal resection with anastomosis that removed all palpable nodules located on the abdominal antimesenteric wall.