, Shabeer Ahmad3, Sajad Geelani2, Javid Rasool21Department of Critical Care Medicine, Sher -I -Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
2Department of Haematology, Sher -I -Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
3Department of General Surgery, Sher -I -Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
Chronic myeloid leukemia(CML) usually remains asymptomatic and has varied clinical presentation. The disease usually has a chronic course till it goes into blast crisis when it develops fever, other constitutional symptoms and bleeding manifestations as seen in acute leukemia. Here, we present a case that came to our emergency department as a case of acute abdomen in the form of massive retroperitoneal hematoma and subsequently proved to be a case of Philadelphia positive CML with blast crisis.
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