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Zimmer V et al. – A 34–year–old woman was referred for workup of severe cachexia (26 kg, 160 cm; body mass index, 10.2 kg/m2; highest weight, 40 kg), new–onset intractable vomiting and upper abdominal pain. She had initially undergone operative exploration at another hospital owing to high–grade gastric and proximal small bowel dilatation on abdominal CT scan. However, mechanical obstruction was excluded at surgery.

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