A 61-Year-Old Woman Presented with Gastric Outlet Obstruction

Authors

  • Apichai Leelasiri Department of Medicine, School of Medicine, Mae Fah Luang University
  • Phichai Phongmanjit Department of Surgery, School of Medicine, Mae Fah Luang University
  • Tawatchai Pongpruttipan Department of Pathology, Faculty of Medicine, Siriraj Hospital, Mahidol University

Keywords:

Acute myeloid leukemia, Granulocytic sarcoma, Gastric outlet obstruction

Abstract

We reported a case of acute myeloid leukemia (AML), presented with gastric outlet obstruction from granulocytic sarcoma (GS) at duodenum at the same time of AML diagnosis. She also had possible extramedullary involvement at right breast and right presacral area. She achieved remission after induction chemotherapy (cytarabine and doxorubicin). Three months later after the 3rd consolidation, she developed relapsed disease at multiple sites and also in bone marrow. Because of unusual presentation, the physician in-charge should be aware of this disease. With retrospective review, complete blood count and peripheral blood smear examination by hematologist is the key for early diagnosis.

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Published

2022-08-22

How to Cite

Leelasiri, A., Phongmanjit, P., & Pongpruttipan, T. (2022). A 61-Year-Old Woman Presented with Gastric Outlet Obstruction. Greater Mekong Subregion Medical Journal, 2(3), 163–168. Retrieved from https://he02.tci-thaijo.org/index.php/gmsmj/article/view/259019