Article Text

Unusual presentation of more common disease/injury
Acute myeloid leukaemia presenting as faecal incontinence
  1. Hoon Lim,
  2. Young Soon Cho,
  3. Pyung Moon Jang,
  4. Ho Jung Kim,
  5. Hye Young Jang
  1. Department of Emergency Medicine, Soonchunhyang University Hospital, Bucheon, Seoul, Republic of Korea
  1. Y S Cho, choyoungsoon{at}


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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  • Competing interests: none.