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A 42-year-old man was admitted to the hospital with epigastric discomfort, nausea and vomiting 3 months after heart transplantation. Physical examination, chest and abdomen x-ray, electrocardiography and blood tests were unremarkable except for mild elevation of creatinine. Oesophagogastroduodenoscopy showed 30 mm-sized irregular shaped ulceroinfiltrative mass with nodular surface at duodenal second portion, proximal to ampulla of Vater, suspicious of …
Footnotes
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Contributors JCY and SMK wrote the initial manuscript. JCY and JHN edited the paper, including image editing and paper design. All authors read and approved the final manuscript.
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Competing interests None.
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Patient consent Obtained
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Ethics approval Institutional Review Board of Yonsei University College of Medicine.
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Provenance and peer review Not commissioned; internally peer reviewed.