Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taiwan, China.
World J Gastroenterol. 2009 Nov 28;15(44):5624-5. doi: 10.3748/wjg.15.5624.
Acute myelogenous leukemia (AML) can involve the gastrointestinal tract but rarely involves the appendix. We report a male patient who had 1 year partial remission from AML and who presented with apparent acute appendicitis as the initial manifestation of leukemia relapse. Pathological findings of the appendix revealed transmural infiltrates of myeloblasts, which indicated a diagnosis of leukemia. Unfortunately, the patient died from progression of the disease on the 19th d after admission. Although leukemic cell infiltration of the appendix is uncommon, patients with leukemia relapse can present with symptoms mimicking acute appendicitis.
急性髓系白血病（AML）可累及胃肠道，但很少累及阑尾。我们报告了 1 例 AML 部分缓解 1 年后以急性阑尾炎为首发表现的复发性白血病患者。阑尾的病理发现髓母细胞穿透性浸润，提示白血病的诊断。不幸的是，该患者在入院后第 19 天因疾病进展而死亡。尽管阑尾的白血病细胞浸润并不常见，但白血病复发的患者可出现类似急性阑尾炎的症状。
