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Case 13 

Case 13
Case 13

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

Page of

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date: 30 October 2020

A 70-year-old retired Korean mechanic presented with a 12-month history of epigastric discomfort and 5kg weight loss. A laparoscopic cholecystectomy had been carried out for multiple gallstones. The discomfort continued post-cholecystectomy. His past medical history included a seronegative arthritis and a salivary gland biopsy consistent with Sjøgren’s syndrome. The patient denied drinking alcohol and was a non-smoker. He had become jaundiced over the preceding 3 weeks.

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