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gorham disease 14M with melena and iron deficiency anemia and intermittent back pain. Duodenum and ileum biopsy: telangiectasia. Paravertebral soft tissue biopsy: vascular proliferation and telangiectasia with focal marked fibrosis, vascular anomaly, related to Gorham disease, proliferative disorder of vascular or lymphatic structures of bone leading to progressive massive osteolysis & soft tisssue extension. Chylothorax, mediastinal lymphangioma.