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A 40-day-old infant presented with pallor and poor food intake, and was found to have normochromic normocytic anaemia and mild neutrophil leucocytosis. As late-onset sepsis was suspected, antibiotic therapy was started, with clinical improvement within 7 days, but haemoglobin levels remained below 8 g/dL. There was no evidence of bleeding or haemolysis, and no response to iron supplementation and a 4-week cow's milk protein elimination diet, and she was referred to our centre at 2.5 months of age.
Abdominal MRI showed a vast pseudonodular mass involving and …
Contributors MM conceptualised and designed the study, and drafted the initial manuscript. CM carried out the MRI and CT studies, reviewed and revised the manuscript and contributed to the preparation of figures. GV performed the ultrasonography studies and contributed to the editing of the manuscript. SM carried out the MRI and CT studies, and took part in the preparation of the manuscript. DA performed the laparoscopic exploration and critically reviewed the manuscript. EM was responsible for the clinical management of the patient, reviewed and revised the manuscript. AS was responsible for the clinical management of the patient, conceptualised and designed the study, and critically reviewed the manuscript.
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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