Small-Bowel Myeloid Sarcoma Presenting as A Relapse Case of Acute Myeloid Leukemia

  • Nadia Shirazi Himalayan Institute of Medical Sciences, India
  • Akriti Saxena Himalayan Institute of Medical Sciences, India
  • Kunal Das Himalayan Institute of Medical Sciences, India
  • Vikas Shrivastava Himalayan Institute of Medical Sciences, India
Keywords: Extramedullary, myeloblasts, acute leukemia, flow cytometry


Granulocytic sarcoma is an extramedullary tumor of primitive granulocytic cells. It can develop at any anatomic site and is often a prelude to the development of Acute Myelogenous Leukaemia. Granulocytic sarcoma of the small intestine presents with abdominal pain and obstruction. We report a case of a 17 year old boy who presented with epigastric pain. His endoscopy revealed nodular duodenal mucosa and an area of ulcerated exophytic growth in the small bowel. Histopathology and flow cytometery confirmed the diagnosis of granulocytic sarcoma associated with acute myelogenous leukaemia. This case merits interest because of rarity of presentation and thorough clinical and laboratory work up.

Author Biographies

Nadia Shirazi, Himalayan Institute of Medical Sciences, India
Professor, Department of Pathology
Akriti Saxena, Himalayan Institute of Medical Sciences, India
Junior ResidentDepartment of Pathology
Kunal Das, Himalayan Institute of Medical Sciences, India
Assistant Professor Department of Paediatrics
Vikas Shrivastava, Himalayan Institute of Medical Sciences, India
Assistant Professor Department of Pathology


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Case Report