An Unusual Case of Vomiting Caused by Myeloid Sarcoma

Vivek Chand Goodoory, Diana Triantafyllopoulou, Ioannis Gkikas, Fouad Alani, Ayub Ali Bin, Stuart Mellor, Jagdish Adiyodi, Neil Sahasrabudhe, Matthew Saxton, Hazel Cowburn
2019 Reports  
Myeloid sarcoma is an extramedullary mass consisting of myeloblasts that may present simultaneously or precede a bone marrow disorder. It has been reported to occur without a known preexisting diagnosis of acute leukemia, myelodysplastic syndrome or a myeloproliferative neoplasm and this is known as primary myeloid sarcoma. Here, we report a case of an 80-year-old male who presented with intermittent vomiting and significant weight loss for 3 months. The imaging and histological findings were
more » ... cal findings were consistent with a mesenteric myeloid sarcoma encasing the coeliac trunk and superior mesenteric artery, abutting and obstructing the proximal small bowel, causing subacute bowel obstruction. Systemic chemotherapy with low dose cytarabine achieved a reduction in the size of myeloid sarcoma and improved patient's symptomatology but unfortunately our patient succumbed to progression 11 months later.
doi:10.3390/reports2010002 fatcat:d3sdmj4jxnadvcvhswb4lvagnu