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Emergency Medicine Journal 2007;24:e30; doi:10.1136/emj.2007.046086
© 2007 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

Acute myeloid leukaemia presenting as faecal incontinence

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

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

Correspondence to:
Correspondence to:
Dr Y S Cho
Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, 1174, Jung-dong, Wonmi-gu, Bucheon-si, Gyeonggi-do, Seoul 420–020, Republic of Korea; choyoungsoon{at}hanafos.com

ABSTRACT

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.

Abbreviations: AML, acute myeloid leukaemia


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