About this Journal Submit a Manuscript Table of Contents
Case Reports in Gastrointestinal Medicine
Volume 2012 (2012), Article ID 425358, 3 pages
http://dx.doi.org/10.1155/2012/425358
Case Report

Small Intestinal Obstruction with Intussusception due to Acute Myeloid Leukemia: A Case Report

Department of Pathology, BYL Nair Ch. Hospital, Mumbai 400008, India

Received 4 April 2012; Accepted 24 June 2012

Academic Editors: T. Hirata and G. Kouraklis

Copyright © 2012 Sangeeta Kini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Myeloid sarcoma is known to precede the development of acute myeloid leukemia (AML) and can be the only clinical manifestation. Gastrointestinal involvement by AML is rare with the commonest site being small intestine. Patients present with vague abdominal pain and/or obstruction. Prognosis is usually poor as most of them rapidly progress to AML. We report a case of 25-year-old man with complaints of abdominal pain and vomiting of one-year duration. OGD scopy revealed infiltration of lesser curvature of stomach. Subsequently patient came back within a week with signs and symptoms of acute intestinal obstruction for which an ileal resection was done. Although the histology of stomach biopsy and ileal segments showing similar features were thought to be non-Hodgkin's lymphoma, immunohistochemistry confirmed the diagnosis of myeloid sarcoma. Bone marrow investigations confirmed involvement by AML. Patient succumbed to the disease due to extensive involvement of AML. This case highlights the primary gastrointestinal manifestation of AML which can often prove to be a diagnostic difficulty clinically and histologically. Prompt diagnosis is essential to hasten the management.