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Background: Abdominal pain is a common primary care complaint. Portal vein thrombosis (PVT) is a rare cause of abdominal pain, typically associated with cirrhosis or thrombophilia. The following describes the presentation of PVT in a young male, the search for risk factors and underlying etiology, and the debate of anticoagulation therapy.Case: A 28-year-old male presented with periumbilical pain, post-prandial nausea, and sporadic hematemesis for 3 weeks. The diagnosis was confirmed with a triphasic liver computerized tomography after obtaining an abnormal right upper quadrant ultrasound. This unexpected finding prompted investigation for intrinsic hepatic disease and potential hypercoagulable disorders. Laboratory analysis revealed a heterozygous genotype for the prothrombin 20210G/A mutation, an identified risk factor for venous thrombosis.

Drawing on data from Senegal, this article develops the concept of pockets of world society to explain how adherence to a liberal vision of gay rights emerges within an otherwise illiberal legal landscape. Pockets of world society appear at the site where the global field of human rights penetrates the national juridical field. Senegal’s Ministry of Justice sits at this juncture. It is a member of both fields but tends toward a logic of international imitation. The ministry accommodates world society’s stance on homosexuality, offering a moderate re-interpretation of its nation’s criminalization, and quietly circumventing local law to enact global scripts of sexual actorhood. In stark contrast, Senegalese courts, located solely within the national juridical field, adhere to a logic of popular representation, rejecting sexual self-determination, insisting on national sovereignty, and carrying out the nation’s criminalization of homosexuality in accordance with both law and collective will. These conflicting logics are driven by external pressures, field membership and position, professional trajectories, and sources of legal legitimacy and social accountability. Finally, I contend that the conflict in Senegal spotlights not only world society’s limits, but its persistent strength and its ability to disrupt the coherence of the law.

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What are the non-monetary dimensions of selling sex? This article offers a cultural approach to the question of sexual labors, drawing on field observations and interviews in a community of gay men in Dakar, senegal. removing the notion of sexual labors from the stigmatized zone of "survival sex," I explore the affective, extramonetary dimensions of sexual labors. The men in this study labor not simply to make money. Instead, I argue that against a highly gendered cultural backdrop, one where male admiration is often written synonymously with money and gift giving, gay men experience a validation of their selfworth and homoerotic attraction through sexual labors. The extent to which they derive recognition from sexual labors not only subverts the gendered heteronormative paradigm, but also is paradoxically conditioned by it. Beyond sexual labors, however, this article also engages a broader question-how do gay men forge a positive sense of self amidst a variety of oppressive forces? The answer is not only through sexual labors, but also through initiation into a gay identity and community, an ethos of generosity and solidarity, kinship ties, and an ethic of sexual discovery, each taking shape alongside these labors.