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A shadow of doubt
  1. P J Allan,
  2. S Appleton,
  3. A S McIntyre
  1. Wycombe Hospital, High Wycombe, Bucks, UK
  1. Dr A S McIntyre, Wycombe Hospital, Queen Alexandra Road, High Wycombe HP11 2TT, UK; alistair.mcintyre{at}buckshosp.nhs.uk

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CLINICAL PRESENTATION

A 69-year-old female patient with a history of ischaemic heart disease and a laparoscopic cholecystectomy 4 years previously was admitted with a 6 month history of fatigue, vague right upper quadrant pain, fevers and night sweats. Initial investigations revealed an erythrocyte sedimentation rate …

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