Patient History
A 66-year-old female with a background of CREST syndrome, esophageal dysmotility, and a small intestinal bacterial overgrowth presented with nausea. She had also experienced unintentional weight loss of 10kg over 6 months.
An abdominal CT scan revealed a dilated and tortuous esophagus. There was also a 72mmx35mm low density mass in the tail of pancreas, occluding the splenic artery and vein.
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