Chronic myeloid leukaemia manifesting as a gynecological emergency in a young woman

Vishnupriya Padmanabhan; Mohamed M. Shahin; Karim Abdallah

doi:10.18203/2320-1770.ijrcog20173504

Authors

Vishnupriya Padmanabhan Department of Obstetrics and Gynecology, University Hospital of North Midlands, Stoke-on-Trent, United Kingdom
Mohamed M. Shahin Department of Obstetrics and Gynecology, University Hospital of North Midlands, Stoke-on-Trent, United Kingdom
Karim Abdallah Department of Obstetrics and Gynecology, University Hospital of North Midlands, Stoke-on-Trent, United Kingdom

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20173504

Keywords:

Apoplexy, ISIH, Leukaemia

Abstract

Chronic Myeloid Leukaemia (CML) is a form of blood cancer that is characterized by unregulated growth of Myeloid cells within the bone marrow. Idiopathic Spontaneous Intraperitoneal Haemorrhage (ISIH) is a rare life-threatening presentation. Case report of a young woman who presented to the emergency department with evidence of intra-abdominal bleeding. thought to be of gynaecological origin. No obvious source for the bleeding could be identified intra-operatively. Laboratory investigations showed evidence of Leukaemia which was confirmed on bone marrow biopsy. CML represents 8% of leukaemia in the UK. Despite being a rare presentation, ISIH should be considered as a possible differential diagnosis for those patients when presenting with evidence of acute abdomen.

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