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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 …
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.
Competing interests None.
Patient consent Obtained
Ethics approval Institutional Review Board of Yonsei University College of Medicine.
Provenance and peer review Not commissioned; internally peer reviewed.