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Case Reports in Gastrointestinal Medicine
Volume 2011 (2011), Article ID 627549, 3 pages
http://dx.doi.org/10.1155/2011/627549
Case Report

Granulocytic Sarcoma of the Stomach Presenting as Dysphagia during Pregnancy

1Department of Pathology Asian Institute of Gastroenterology, 6-3-661 Somajiguda, Hyderabad 500 082, India
2Department of Anesthesiology Asian Institute of Gastroenterology, 6-3-661 Somajiguda, Hyderabad 500 082, India
3Department of Medical Gastroenterology Asian Institute of Gastroenterology, 6-3-661 Somajiguda, Hyderabad 500 082, India

Received 28 July 2011; Accepted 16 August 2011

Academic Editors: D. A. Edelman, F. Izbeki, G. Kouraklis, and H. Sugimura

Copyright © 2011 Anuradha Sekaran 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

Granulocytic sarcoma also known as extramedullary myeloid sarcoma or chloroma is an uncommon manifestation of leukemia and presents as a deposit of leukemic cells outside the bone marrow. We report a case of a twenty-five-year-old pregnant woman who presented with progressive dysphagia and recurrent postprandial vomiting. Upper GI endoscopy had shown large flat laterally spread nodular lesions in the cardia and proximal body of stomach. Biopsies from the gastric lesion showed granulocytic sarcoma of the stomach. Concurrent peripheral and bone marrow picture was suggestive of acute myeloid leukemia (AML–M4). There is limited reported literature on granulocytic sarcoma of the stomach. Concurrent gastric granulocytic sarcoma involving cardia and AML in pregnancy has not been reported till date.