Abstract
A 15-year-old girl, who had undergone haemopoietic stem ell transplant for high-risk acute lymphoblastic leukaemia (ALL) wo years earlier, presented with epigastric pain of two weeks’ uration. Examination revealed epigastric tenderness and mild epatomegaly. Full blood count and liver function tests were noral except for mild elevation of GGT levels (85 U/L). Urea breath est for Helicobacter pylori was negative. Upper gastrointestinal endoscopy, carried out in view of orsening epigastric pain, revealed multiple prominent discrete rythematous nodular lesions with a variegated surface (Fig. 1). ltrasound revealed hepatomegaly with multiple echogenic foci cattered throughout the liver parenchyma (Fig. 2) and mild hickening of the pancreas confirmed by magnetic resonance
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