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BMJ 2010; 340 doi: (Published 24 February 2010) Cite this as: BMJ 2010;340:c1015
  1. Russell Mullen, specialist registrar,
  2. Swayamjyoti Ray, specialist registrar,
  3. Christopher Ray, specialist registrar,
  4. Craig Eriksen, consultant surgeon,
  5. Peter Gamble, consultant radiologist
  1. 1Department of General Surgery, Perth Royal Infirmary, Perth PH1 1NX
  1. russmullen{at}

    An 87 year old woman with a known hiatus hernia was admitted after several weeks of intractable vomiting. A …

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