A 67-year-old lady presented with 6-month history of abdominal pain. The pain was localized to right lumbar region with dull aching in character and no specific exacerbating or relieving factors. Past medical history revealed that she noticed multiple nodular swellings on her body and face for past 50 years. History: Family history revealed similar nodular lesions in her father and sister with no major illness in them or other family members.
She was diagnosed to have hypertension 8 years back and is currently requiring more than three antihypertensive drugs for optimal control. She did not have symptoms to suggest pancreatic neuroendocrine tumor. Examination: blood pressure 150/90 mmHg, multiple soft to firm nodular swellings over entire body including face, multiple macules over arms, back, and generalized freckling of the skin known as Crowe’s sign. There was no evidence of neck…
