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Lee JY, Lee WS, Jung MK, et al. Acute myeloid leukemia presenting as obstructive jaundice caused by granulocytic sarcoma. Gut Liver. 2007;1(2):182-5doi: 10.5009/gnl.2007.1.2.182.
Lee, J. Y., Lee, W. S., Jung, M. K., Jeon, S. W., Cho, C. M., Tak, W. Y., Kweon, Y. O., Kim, S. K., Choi, Y. H., Kim, J. G., & Sohn, S. K. (2007). Acute myeloid leukemia presenting as obstructive jaundice caused by granulocytic sarcoma. Gut and liver, 1(2), 182-5. https://doi.org/10.5009/gnl.2007.1.2.182
Lee, Joo Young, et al. "Acute myeloid leukemia presenting as obstructive jaundice caused by granulocytic sarcoma." Gut and liver vol. 1,2 (2007): 182-5. doi: https://doi.org/10.5009/gnl.2007.1.2.182
Lee JY, Lee WS, Jung MK, Jeon SW, Cho CM, Tak WY, Kweon YO, Kim SK, Choi YH, Kim JG, Sohn SK. Acute myeloid leukemia presenting as obstructive jaundice caused by granulocytic sarcoma. Gut Liver. 2007 Dec;1(2):182-5. doi: 10.5009/gnl.2007.1.2.182. Epub 2007 Dec 31. PMID: 20485638; PMCID: PMC2871626.
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Gut Liver. 2007 Dec;1(2):182-5. doi: 10.5009/gnl.2007.1.2.182. Epub 2007 Dec 31.

Acute myeloid leukemia presenting as obstructive jaundice caused by granulocytic sarcoma.

Gut and liver

Joo Young Lee, Wan Suk Lee, Min Kyu Jung, Seong Woo Jeon, Chang Min Cho, Won Young Tak, Young Oh Kweon, Sung Kook Kim, Yong Hwan Choi, Jong Gwang Kim, Sang Kyun Sohn

Affiliations

  1. Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.

PMID: 20485638 PMCID: PMC2871626 DOI: 10.5009/gnl.2007.1.2.182

Abstract

We report a rare case of granulocytic sarcoma infiltrating the bile duct in a patient with acute myeloid leukemia. A 23-year-old man presented with jaundice and weight loss. A peripheral blood smear revealed blast cells, and the results of an examination of bone marrow aspirate were consistent with acute myeloid leukemia. The bilirubin level increased gradually after induction chemotherapy with cytarabine. Magnetic resonance cholangiopancreatography (MRCP) revealed dilatation of the intrahepatic bile ducts and smooth tapering off at the level of the common hepatic bile duct. Endoscopic retrograde cholangiopancreatography (ERCP) also revealed diffuse narrowing of the proximal common hepatic bile duct. Obstructive jaundice resolved after endoscopic nasobiliary drainage. Remission induction chemotherapy with cytarabine and idarubicin was administered, and the patient remained complete hematological remission with normal liver function tests.

Keywords: Bile ducts; Jaundice, Obstructive; Leukemia, Myelocytic, Acute; Retrograde cholangiopancreatography, Endoscopic

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