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Summary
A woman aged 69 years presented with a 2-week history of left-sided neck swelling, dysphagia and night sweats. CT revealed an internal jugular venous thrombosis, multiple pulmonary emboli and gastric thickening. Endoscopy found a haemorrhagic fundal polypoidal tumour; biopsies diagnosed a gastric adenocarcinoma, Lauren's intestinal type. She was managed with radiotherapy and low molecular weight heparin.
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Footnotes
Contributors JR-M was involved in the direct care of the patient, and well as in the conception, design, literature review and completion of the article. JR was involved in the direct care of the patient, literature review and contributed to the writing of the discussion section of the article. He also reviewed the article following completion. TP was involved in the direct care of the patient. He contributed to the design of the case report and also to the literature review. He reviewed the article on completion.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.