Issue 5 Articles

A Giant Simple Hepatic Cyst with Chronic Constipation

Clinical Image

Hepatic cysts are abnormal fluid-filled spaces in the hepatic parenchyma and biliary tract. The cysts usually are asymptomatic and as a casual finding during the general health check-up and screening imaging examinations. Simple hepatic cysts are known to be congenital in origin, the most common benign tumors of the liver and

The Gastric Tumor That Wasn’t There

Clinical Image

32-year-old female was admitted to the hospital with epigastric abdominal pain, nausea, vomiting with a band like distribution. She reported longstanding pain that has progressively worsened in the last two months, with unintentional weight loss of 12 pounds, diminished appetite, and nausea

Intrahepatic Cholestasis and Fetal Demise: Association or Causation?

Review Article

Data are conflicting regarding a cause and effect relationship between ICP and stillbirth. On one hand, the data show a higher risk of stillbirth at term without an effective test that might predict demise except high level of bile acids. On the other, even if the stillbirth rate is reduced by a late preterm birth, one must appreciate the cost of active

Prognosis and Treatment Strategy of Early Gastric Cancer with Signet Ring Cell Histology


The prognosis of early gastric cancer (GC) with signet ring cell (SRC) histology comparing with other subtypes remains a matter of debate. Kim et al. indicated that early GC with SRC differs clinical course and prognosis from non-SRC.1 They found that mucosal and submucosal GC with poor differentiation had 6.3% and 30% of lymph node metastasis, respectively