In the paediatric clinic, abdominal palpation revealed an oblong mobile well-defined mass occupying the upper half of the abdomen, the mass was not tender and was firm in consistency. Despite the treatment she was receiving there was no improvement in her condition, in fact she was getting worse. She was treated in different primary health care as a case of gastroenteritis and parasitic infestation. This history was on and off for almost one year. 7 year old girl was referred to our paediatric clinic in 2007, with a history of abdominal pain, distension, weight loss and attacks of vomiting which was not persistent but it comes after a meal and fluid intake.
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