Cholera is an acute diarrheal illness caused by the bacteria Vibrio cholerae. Areas with poor access to clean water and sanitary facilities are more likely to have epidemics. The cholera bacterium can be spread through a number of different channels, most notably through contaminated food, water, and contact with the vomit or feces of an infected person [1,2] . Eating raw shellfish that is naturally infected is another method of transmission [3] . The clinical manifestations of cholera infection can vary in severity, but in the early stages, it is characterized by vomiting, thirst, and restlessness as well as watery diarrhea (sometimes known as "rice water stools"). The enormous volume of fluid loss experienced by individuals with severe cholera infection has been linked to dehydration, hypovolemic shock, and mortality within hours [4] . A cholera patient is known as "the blue death patient" because of the possibility that his skin may turn bluish-gray due to severe fluid loss [4] . Due to the significant side effects of cholera infection, we would want to emphasize in this article the connection between cholera, poverty, conflict, and a lack of infrastructure in Syria, particularly in Aleppo. Unfortunately, the nation's water infrastructure was damaged during 12 years of war; as a result, many places may not have access to enough clean water to drink, irrigate crops with, or even wash fruits and vegetables [5] . In addition, the Euphrates River's levels were lowering, which caused water to stagnate and pollute, acting as a vector for the spread of disease [5] . According to the UN, "the source of infection is believed to be linked to people drinking unsafe water from the Euphrates River and using contamination water to irrigate crops" [5] . On the other hand, due to the link between cholera disease and environmental factors, drought-like circumstances may be associated with cholera outbreaks since hot temperatures and a lack of rain during the warmer months may hasten bacterial multiplication. The prevalence of cholera infection may rise as a
Introduction and Importance: Gastric lipoma is a rare benign tumor of the stomach that arises from adipose tissue. It is often asymptomatic and is incidentally diagnosed on endoscopy or imaging studies. Case Presentation: A 66-year-old male presented with epigastric pain and acid reflux. Upper gastrointestinal endoscopy revealed a 3-cm submucosal lesion in the pyloric antrum. The patient underwent a subtotal gastrectomy. The specimen was sent to the pathology department. Based on the microscopic findings, the diagnosis was a submucosal gastric lipoma. Discussion: The diagnosis of gastric lipomas is usually made incidentally during imaging studies. Treatment options include endoscopic or surgical resection; however, conservative management can be considered in asymptomatic patients. Periodic radiological surveillance is recommended to monitor growth and assess for any malignant transformation. Conclusion: Gastric lipoma is a rare tumor that is usually asymptomatic but can present with nonspecific gastrointestinal symptoms. The diagnosis is confirmed through histological examination, and imaging techniques such as CT or MRI can be useful in preoperative evaluation. Surgical resection remains the primary treatment, while endoscopic resection may be considered in certain cases.
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