Case 11-1974

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Abstract
Presentation of CaseA 31-year-old woman was admitted to the hospital because of fever.At the age of 10 years she entered another hospital because of hematemesis. The physical examination disclosed splenomegaly and massive hepatic enlargement, and an upper gastrointestinal series revealed esophageal varices. A splenectomy, a splenorenal shunt and a liver biopsy were performed; microscopical examination disclosed congestive splenomegaly and congenital cystic disease of the liver. Nine years later she was admitted to a second hospital because of fever and was found to have septicemia due to Escherichia coli, with multiple septic emboli to the lower lobe of . . .
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