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Abdominal pain and weight loss: an uncommon outcome to a common referral
  1. Nowlan Selvapatt,
  2. Jonathan Hoare
  1. Department of Gastroenterology, St Mary's Hospital, London, UK
  1. Correspondence to Nowlan Selvapatt, Department of Gastroenterology, St Mary's Hospital, Praed Street, London W2 1RY, UK; nowlan.selvapatt{at}

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A 95-year-old woman was referred with a 3-week history of vomiting undigested food, abdominal pains and half a stone weight loss. The general practitioner reported a palpable epigastric mass, which was a ‘golf ball size’. She was managing fluids normally but had reduced appetite. She had a perforated duodenal ulcer repair 40 years previously and was taking aspirin and lactulose. She was otherwise living alone and independent. Apart from a normocytic anaemia …

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