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Published 12 May 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.12.2008.1397]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual presentation of more common disease/injury

Acute myeloid leukaemia presenting as faecal incontinence

Hoon Lim, Young Soon Cho, Pyung Moon Jang, Ho Jung Kim, Hye Young Jang

Department of Emergency Medicine, Soonchunhyang University Hospital, Bucheon, Seoul, Republic of Korea

Correspondence to:
Y S Cho, choyoungsoon{at}hanafos.com

SUMMARY

Epidural sacral nerve compression as an initial feature of leukaemia is a rare complication. The findings in a 16-year-old boy who presented to an emergency department with symptoms of faecal incontinence are reported herein. Radiological imaging demonstrated soft tissue masses in the sacral epidural space. The diagnosis of acute myeloid leukaemia was confirmed on bone marrow aspirate. The characteristics and management of extramedullary leukaemia are discussed.


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