Acute myelogenous leukemia and acute leukemic appendicitis: a case report.
Acute myelogenous leukemia (AML) can involve the gastrointestinal tract but rarely involves the appendix. We report a male patient who had 1 year partial remission from AML and who presented with apparent acute appendicitis as the initial manifestation of leukemia relapse. Pathological findings of the appendix revealed transmural infiltrates of myeloblasts, which indicated a diagnosis of leukemia. Unfortunately, the patient died from progression of the disease on the 19th d after admission. Although leukemic cell infiltration of the appendix is uncommon, patients with leukemia relapse can present with symptoms mimicking acute appendicitis.
Hsiao
Po-Jen
PJ
Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taiwan, China.
Kuo
Shih-Ming
SM
Chen
Jia-Hong
JH
Lin
Hsuen-Fu
HF
Chu
Pau-Ling
PL
Lin
Shih-Hua
SH
Ho
Ching-Liang
CL
D000368:Aged; D001062:Appendectomy; D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis*; D018450:Disease Progression; D042381:Granulocyte Precursor Cells / Q000166:cytology; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications* / Q000175:diagnosis*; D017254:Leukemic Infiltration / Q000175:diagnosis / Q000473:pathology; D008297:Male; D012008:Recurrence; D023981:Sarcoma, Myeloid / Q000175:diagnosis / Q000473:pathology; D016896:Treatment Outcome