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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 …
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