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Malignant mimicry—a 17-year-old with abdominal pain and weight loss
  1. Katie Planche1,
  2. Jennifer Watkins2,
  3. Charles Murray3,
  4. Sheena Mankodi3
  1. 1Department of Radiology, Royal Free Hospital, London, UK
  2. 2Department of Histopathology, Royal Free Hospital, London, UK
  3. 3Department of Gastroenterology, Royal Free Hospital, London, UK
  1. Correspondence to Dr Sheena Mankodi, Department of Gastroenterology, Royal Free Hospital, Pond Street, London NW3 2QG, UK; Sheena3{at}gmail.com

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A 17-year-old woman of Afro-Caribbean origin presented with a 1 month history of abdominal pain associated with vomiting and weight loss. Symptoms had gradually become more frequent and persistent. She had previously been well and had no previous hospital attendances or illnesses.

Vital signs and physical examination was normal with the exception of tenderness in the epigastrium on palpation.

Initial bloods tests revealed the following abnormalities only; platelets 520, alkaline phosphatase 169, C-reactive protein 73, international normalised ratio 1.3.

An x-ray of her chest was abnormal with bilateral reticular nodular shadowing and CT of …

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