Fahad Khan, Saad Farooq.
Trilogy of fallot: an unusual clinical presentation.
Pak Heart J Jan ;49(3):126-9.

While dealing with major pathologies like in our case, most physicians are often familiar with typical features of disease but are not able to recognize the occasional atypical presentation of disease resulting in patient being under-diagnosed or late diagnosed.We present a case of 25 year old gentleman who initially presented with complains of 2 episodes of blood in vomiting and diagnosis of trilogy of Fallot was made due to evidence of typical findings on Trans oesophageal Echocardiography with possible secondarily involved liver.

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