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QJM Advance Access originally published online on May 11, 2009
QJM 2009 102(7):491-493; doi:10.1093/qjmed/hcp051
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© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

An uncommon cause of small bowel obstruction: isolated primary granulocytic sarcoma

B. Kumar1, V. Bommana1, F. Irani1, R. Kasmani1, A. Mian2 and K. Mahajan1

From the 1St. Vincent Mercy Medical Center, 2213 Cherry Street, Toledo, Ohio 43608 and 2St. Charles Mercy Hospital, 2600 Navarre Avenue, Oregon, Ohio 43616 USA

Address correspondence to Farzan Irani, Department of Internal Medicine, St. Vincent Mercy Medical Center, 2213 Cherry Street, Toledo, Ohio 43608, USA. email: farzan_i@yahoo.com

The first 10% of the full text of this article appears below.


   Case report
 
A 55-year-old woman was admitted with a 10-day history of colicky, left lower-quadrant abdominal pain and intermittent vomiting. She also reported a 2-month history of alternating diarrhea and constipation, with a 20-pound weight loss. She denied malena or hematemesis. She had a 40-pack year history of smoking.

On admission, she was normotensive, tachycardic and appeared dehydrated. Generalized abdominal tenderness was noted on palpation, with hyperactive bowel sounds and no guarding or rigidity. There was no palpable lymphadenopathy. The remainder physical examination was unremarkable.

Laboratory examination . . . [Full Text of this Article]


   Discussion
 

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