title: Acute myeloid leukemia presenting as "bowel upset": a case report.
abstract: Myeloid sarcomas (MS) are the extramedullary presentation of acute myeloid leukemias. At times, they are difficult to diagnose due to lack of any supportive findings in peripheral blood/bone marrow aspirate examination. The involvement of gastrointestinal tract (GIT) by myeloid sarcoma is rare phenomenon. This diagnostic challenge becomes more complex when it is added by vague clinical symptoms. Many times, they have been misdiagnosed as Non-Hodgkin's lymphoma, small round cell tumour or carcinoma. Here, we are reporting a case of myeloid sarcoma with no haematological abnormality which presented with the symptoms of bowel obstruction and a rare combination of inv. (16) and trisomy 22. The journey to reach the conclusive diagnosis in this case is interesting and sensitizes us to have high index of suspicion in a case, where there is paucity of clinical evidences.
authors.affiliation: Attending Consultant, Department of Pathology and Laboratory Medicine, Medanta Hospital , Haryana, India .
authors.forename: Smeeta
authors.initials: S
authors.lastname: Gajendra
authors.affiliation: Assistant Professor, Department of Medical Oncology, Dr BRA-IRCH, AIIMS , New Delhi, India .
authors.forename: Ajay
authors.initials: A
authors.lastname: Gogia
authors.affiliation: Assistant Professor, Department of Pathology, AIIMS , New Delhi, India .
authors.forename: Prasenjit
authors.initials: P
authors.lastname: Das
authors.affiliation: Additional Professor, Laboratory Oncology Unit, Dr BRA-IRCH, AIIMS , New Delhi, India .
authors.forename: Ritu
authors.initials: R
authors.lastname: Gupta
authors.affiliation: Assistant Professor, Laboratory Oncology Unit, Dr BRA-IRCH,, AIIMS , New Delhi, India .
authors.forename: Pranay
authors.initials: P
authors.lastname: Tanwar
keywords: Acute myeloid leukemia; Blast; Intussusception; Lymphadenopathy; Myeloid sarcomas