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An unusual cause of gastric outlet obstruction
  1. A M Smith1,
  2. R Mackey2,
  3. R M Walsh2
  1. 1Academic Surgical Unit, Castle Hill Hospital, Cottingham, East Yorkshire, UK
  2. 2Department of Surgery, A80 Crile Building, Cleveland Clinic Foundation, Euclid Avenue, Cleveland, Ohio, USA
  1. Correspondence to:
    MrA M Smith
    Academic Surgical Unit, Castle Hill Hospital, Cottingham, East Yorkshire HU16 5JQ, UK; malvernhome{at}hotmail.com

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Clinical presentation

A 70 year old female presented with a four week history of epigastric pain, nausea, bilious vomiting, and weight loss of …

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