Makale Arama

The aim of this study was to evaluate colonoscopyassisted pneumatic reduction(CAPR) of experimental colocolic intussusception(CCI). Twenty eight rabbits were divided into 2 groups each containing 14 rabbits: Group A and B. The animals were not fed orally 1 day before the experimental study and fed parenterally. After median line skin incision, abdominal wall was opened. Colocolic intussusception was performed. 100 ml/kg liquid electrolyte solution was given to all rabbits in postoperative period. Group A was observed for 2 days and Group B for 3 days. In Group A, the “currant jelly” stools were observed. Mean weights were 3.970±2.137 kg, reduction duration 3.97±2.47 minutes, air pressure 44.0±2.6 mmHg, and the success rate of reduction 100%. Perforation was not observed in this group. In Group B, the “currant jelly” stools were observed in 5 of 14 rabbits. Mean weights were 4.111±2.754 kg, reduction duration 4.01±1.71 minutes, air pressure 55.9±13.3 mmHg, and the success rate of reduction 93%. Perforation was observed in 1 rabbit in this group. The air pressure in group B was significantly higher than group A (p

More than 90% of pnömoperitoneum occur as a result of gastrointestinal perforation. However, sometime spneumoperitoneum is not associated with visceral perforation. In this study, we aimed to introduce the four cases of idiopathic spontaneous pneumoperitoneum and to review the literature. Ages were between 58 and 83 years old and intra-abdominal free air was determined during the emergency room imaging applications with undetermined etiology. One patient was diagnosed with idiopathic spontaneous pömoperitoneum after medical follow-up, and the others were diagnosed after surgery. All patients were male and did not have any etiologic factors other than diagnosis of COPD to create pneumoperitoneum. A detailed history and physical examination findings may prevent unnecessary laparotomy for diagnosis spontaneous pnömoperitoneum. In spontaneous pnömoperitoneum patients, it is suggested that COPD history should be questioned if no other etyological factor was found.

Perforation caused by gastrointestinal stromal tumours (GIST) is not a frequently observed phenomenon. Therefore, we intend to present a case in which perforation was observed in proximal jejunum caused by GIST. A patient who had been complaining of abdominal pain for about 30 days was operated on after being diagnosed with acute abdominal pain. Perforation was observed in proximal jejunum. At the end of the histopathological examination performed after the resectioning of this segment, the case was reported as high risk GIST. A medical treatment was arranged for the patient after his surgical treatment was completed. No finding of recurrence of the disease exists in the patient who has been kept under close observation as he is in the high risk group histopathologically. Generally identified by chance, cases of GIST may also present themselves as acute stomach through perforation.

Aim: Our aim is to investigate the relation between the increase of abdominal pressure and abdominal compartmant syndrome Material and Method: 61 patients admitted to Selçuk Univercity Meram Medical Faculty Emergency Service with diagnosis of acute abdomen were included in this study. The diagnosis were; 25 cases ileus, 13 cases acute pancreatitis, 11 cases mesentery ischemia seviand 12 cases with intestinal perforations. In all cases urine bladder pressures were recorded as the reflection of abdominal pressure. Meanwhile pH, PaCO2, PaO2, SGPT , SGOT, urea and creatinin levels were measured in venous and arterial blood samples. The procedure was repeated consequently 24, 48 and 72 hours. The correlation between abdominal pressure increase and these parameters were evaluated. Results: Increase in abdominal pressure has negative effects on renal, pulmonary and liver organ systems. Renal function effected by 10 cm H2O pressure and was obviously affected after 20 cm H2O pressure. The increase of abdominal pressure causes respiratory alcholosis; at initial time and hypoxia, hypercarbia, metabolic acidosis and respiratory insuffiency at the late period. Liver enzyms were recorded at high level in abdominal pressure increase. Conclusion: Urine bladder pressure is reflecting abdominal pressure. The incerase of abdominal pressure has positive correlation with urea, creatinin, SGOT, SGPT, and PaCO2 levels and negative correlation with PaO2 and pH levels.

Inguinal hernia repair surgery is one of the most common procedures. Strangulated inguinal hernia is one of the most widely performed surgical emergencies dealt with by surgeons worldwide. Uncommonly, strangulation of the contents can occur due to other causes like omental band adhesion. We reported a rare case of strangulated inguinal hernia, brought about by an omental band adhesion, causing closed loop small bowel obstruction and perforation within the hernial sac in the inguinal canal.

Appendiceal mucocele is the distension of the appendix lumen with mucoid material. Appendix rupture or peritoneal implantations do not occur in mucosal hyperplasia. However, if perforated, it might spread inside the abdomen and the resulting condition is called pseudomyxoma peritonei. Appendectomy was performed on an eight five year-old female patient because of appendiceal mucocele one year ago. Pseudomyxoma peritonei was determined in the followups. Laparotomy was performed on the patient. The implants in the abdomen were cleaned and omentectomy was performed. In appendiceal mucocele, the mass should be removed totally without being perforated. It might spread inside the abdomen following tumor perforation and pseudomyxoma peritonei might occur. When pseudomyxoma peritonei is found, radiotherapy should be planned following the total removal of the tumor.

Despite advanced diagnostic methods, diagnosis of small intestinal tumors is hard and they are generally detected at an advanced stage. These cancers may form emergency cases that need to be addressed surgically like bleeding, obstruction, and perforation or insidious abdominal pain and weight loss. We present our clinical experiences and the short term results of 29 patients with primary small intestinal tumors who had undergone emergency surgical procedures. The data of these 29 patients treated at our clinic between 2005 and 2011 were retrospectively evaluated. Study parameters included the patients’ demographic, clinical, radiological, and pathological characteristics. All the cases underwent emergency surgery. 16 of the patients were male, while 13 were female, and their mean age was 62 (35-80). Intestinal obstruction was detected in 19 of the cases, while perforation in 6, and mesenteric ischemia in 4. Tumors were located in the ileum in 14 patients, in the jejunum in 10, and in the duodenum in 5. The most frequent pathological diagnoses were GIST with 8 cases and adenocarcinoma with 8 cases. The most frequently performed surgical procedures were small intestinal resection and anastomosis. Four patients developed surgical site infection and three had anastomotic leaks in the post-op period. Mortality was seen in five patients in the early post-op period. Tumors of the small intestine are very rare. The findings are non-specific and advanced diagnostic methods are needed during the diagnostic process. They generally cause clinical conditions that necessitate emergency surgery. The timing of the treatment is a significant factor determining survival.

The importance of the NLR and PLR are being investigated by different studies including in cardiology, oncology, general surgery. In this study, the importance of these hematological parameters were evaluated in peptic ulcer perforation. A total of 25 patients who underwent surgery due to the peptic ulcer perforation were evaluated retrospectively in Necmettin Erbakan University. Meram Faculty of Medical between 2012 and 2015. Patients having chronic inflammatory diseases, organ failure, cardiac, ischemic and hematological disease were also excluded from the study. Patients having any infection in the past three weeks were excluded First, hemograms performed in the emergency clinic were evaluated for NLR and PLR. Perforation size and operation techniques evaluated from operation notebook. Patients had omental patch and primary repair was performed for remaining twenty patients. Perforation width was smaller than 0.5 cm in patients having primary repair and, NLP values were ranged from 2.4 to 13. It was determined that Patients had omental patch made whose perforations were greater than 1 cm and NLP values were ranged from 12.2 to 42.4. PLR levels were >72 in patient having small perforation, however it was greater than 101 in large perforation patients. In patients NLR values greater than 12.2, whoseperforations are likely to have wide. Omental patch can be the first choice. If the study is repeated on large series we believe more reliable results can be taken.

Background: Acute appendicitis is the mostcommon surgical problem in pregnancy after obstetric reasons. Pregnant patients operated with diagnosis of acute appendicitis were reviewed retrospectively in this study. Patients and Methods: 24 pregnant patients operated with diagnosis of acute appendicitis in Ankara Numune Training and Research Hospital between January and December 2003 were included in this study. Results: 19 out of 24 patients (%79.2) were pathologically diagnosed as acute appendicitis. Out of other 5 patients, 2 patients had ovarian cystrupture, 1 had ovarian cyst torsion and 2 had negative laparatomies. Distribution of patients was 2, 16 and 6 patients respectively, for 1st, 2nd and 3rd trimester. 2 patients had pretermlabour and 1 fetus resulted with exitus. Preoperative ultrasonography showed similarity to peroperative findings in 12 of 24 patients. Discussion: Diagnosis of acute appendicitis in pregnancy is quite difficult and physical examination and patient history are still most important diagnostic tools. Perforation risk in pregnant patients higher than normal population.

Objective: Nitric oxide (NO) and free oxygen radicals have been implicated in the pathogenesis of intestinal circulatory dysfunction in sepsis. The aim of this study is to investigate the effects of pentoxyfillin, L-arginin and Aminoguanidine on plasma malondialdehide (MDA) and nitric oxide (NO) levels, and to determine the relations between MDA and NO levels on intestine pathology. Methods: 60 Wistar Albino rats were used in this study. The rats were divided into 6 groups, each containing 10 subjects. Sepsis was induced by cecal ligation and puncture (CLP) method. Group I: Sham group, Group II: CLP (sepsis), Group III: CLP + 10 mg/kg L-arginin admiministration, Group IV: CLP + 15 mg/kg Aminoguanidine administration, Group V: CLP + L-arginin + Aminoguanidine (as groups III and IV) Group VI: CLP + 15 mg/kg/day pentoxyfillin. Blood samples were taken fort he determination of NO, MDA, leukocyte counts, a segment of ileum tissue sample was obtained for determination of tissue damage. Results: Leukocyte count increased in CLP induced groups significantly. While NO levels were significantly higher in sepsis and L-arginin groups the levels in Aminoguanidine and Aminoguanidine + L-arginin groups were similar to Sham group. Intestine tissue damage in sepsis and L-arginin groups were more severe than the other groups. MDA levels in CLP induced groups were found to be higher than the sham group. Conclusion: Aminoguanidine and Pentoxifillin may be added to treatment protocols in sepsis in order to prevent intestinal tissue damage and dysfunction both of which (at least partially) caused by elevated NO levels.

Intrauterine devices (IUDs), which use a reversible and highly efficient method, significantly lower mortality and morbidity compared to the medical and social risks of unwanted pregnancies. Mortality is less in IUDs compared to birth control pills, which is one of the most effective methods. On the other hand, morbidity is higher due to bleeding, inflammatory diseases of the pelvis and uterine perforation. Failure to properly place the IUDs in the uterus is the main cause of all major complications such as pregnancy, evacuation of the vehicle, bleeding, mesh, perforation and infection.

A 14 - year-old boy was admitted to the in-tensive care unit (ICU) of the Seljuk University Hos-pital because of a traffic accident. He had a chest tube in the middle axiller line of his right thorax on the 8 th. intercostal space. Pulmonary parenchym of the right lung had closed at his chest roentgenogram and ultrasonografi. This patient required an emer-gency operation with his symptoms and laboratory findings. Emergency thoracotomy was performed in the patient which had led to a tear in the right side of diaphragm and intrathoracic migration of the liver, hepatic filexura of the colon and the omentum were seen. Hepatic flexura of the colon had got two perforations. They have to he attentive for diagnosis and treatment after thoracoabdominal blunt trauma. Never forget that some manipulations to diagnosis or treatment may make abdominal viscera destroy in the chest.

Percutaneous nephrostomy was performed in patients with various kidney pathology in our clinic between january 1985 and july 1987. This procedure was performed in 50 patients. Our hand made guide wire was used in 28 of thern. Imported J guide wire was used in the others. Both kinds of guide wires and results are compared. Our hand made guide wire is found feasible for this purpose.

Aim: We aimed to evaluate surgical procedure carried out to an 8 years old child, clinically diagnosed as Henoch-Schönlein Purpura (HSP), undergoing intussusception repair, because of allergic vasculitis, erythamatose maculopapuler rashes, rectal bleeding, abdominal pain and intussusception, under the light of literature data. Case Report: An eight years old and a male child was consultated because of his biliary vomiting, nausea and diffuse maculopapuler rushes which were localised especially in lower extremites. The symptoms of HSP were observed at histopathologic examination of skin. On examination, the symptoms of acute abdomen, which were characterised with diffuse tenderness and distansion, hipoactive intestinal sounds and abondant biliary drainage from nasogastric tube, were identified. The pneumatic and hydrostatic reductions were not performed because of the risk of perforation due to severe peritonitis and his poor general condition. The patient was operated on after preoperative resuscitation. During the explorative laparatomy, edema and the symptoms of insufficient vascularisation in all intestinum were present. Also, it was observed that approximately 20 cm’s intestinal segment which begins from 10 cm proximal of ileocaecal valve, had been necrotic and ileostomy was carried out after resecting this segment. Meanwhile, it was observed that the whole intestine was edematous and localised blood circulation was distorted in some areas. The patient was operated on to make bridectomy when evisceration and brid ileus occurred on postoperative eleventh day, and the ileostomy was closed at the same session. The patient was delivered with complete recovery 16 days after closing of ileostomy. Conclusion: Although HSP is rarely seen as the cause of acute abdomen, too serious complications of this disease must be kept in mind.

in this study, the risks of emergency surgical procedures in elderly patients and the effect of surgery on the morbidity and mortality were investigated. The records of 884 patients, those who were 65 years old or elder, and who were operated on in the Department of Surgery, University of Selçuk beetwen May 1991 and April 1997 were analyzed, retrospectively. One hundred eighty three patients (20.7%) were operated on urgently and 701 patients (79.3%) were elective. The ratio of male ifemale was 1.9 (120M/63F) and the mean age was 72.3 (range 65-95) in the emergency operations. Most frequent reason for the emergency operations were intestinal obstruction (49 cases), acute mesenteric ischemia (24 cases) and pepic ulcer perforation (23 cases). Mean hospital stay was 10.8 days (3-51 days) in the emergency and 7.2 days (1-41 days) in the elective operation (p<0.0001). The mor-tality was 18.6% in the emergency and 3.4% in the elective operations (p<0.0001). There was no correlation bet-ween mortality rates in different age groups (p>0.05). The highest mortality was observed in intraabdominal abs-cess and in perforated gallbladder disease. Intestinal resection and anastomosis was performed in 55.9% of expired cases. The majority of the patients (70.6%), who had died, had coexisting cardiopulmonary diseases. The main causes of death in alt patients were sepsis and cordio-pulmonary diseases. The main causes of death in all patients were sepsis and cardio-pulmonary failure. In conclusion, age is not a contraindication for an emergency operation and does not affect mortality which appears to be directly related to the severity and nature of the di-sease and to the coexisting cordio-pulmonary diseases. For this reason, timing is very important in the operations of elderly patients, and it is wise to perform the most conservative operation in some severe surgical conditions.

Purpose: To determine the effect of NAC therapy on plasma levels the protective role of tissue injury and organ dysfunction of free oxygen radicals in experimental sepsis model. Material and method: 30 female rabbits were divided into 3 groups, each composed of 10 rabbits. Sepsis was constituted by caeucum ligation perforation tecnique. Groups named sham, sepsis and sepsis + NAC (10mg/kg/day) were formed and medication was given 12 and 24 hours after caeucum ligation and perforation. At the same time blood samples to measure blood gases, plasma glutathion (GSH), malondialdehyde (MDA) and biochemical diagnosis were collected. Tissue samples were obtained. Findings: Plasma GSH levels were elevated in NAC group with respect to sepsis group (P<0.05). Plasma MDA levels were decreased in sepsis group when compared to NAC group (P<0.05). Liver tissue MDA levels were found to be same in both groups. AST, ALT and creatinine values were elevated significantly in NAC group when compared to sepsis group (P<0.05). Apoptosis in liver tissue was significantly decreased in NAC group when compared to sepsis group (P<0.05). Degree of mononuclear infiltration in kidneys were decreased in NAC group when compared to sepsis group (P<0.05). Conclusion: Application of low dose NAC an antioxidative agent in experimental sepsis model has beneficial effects on pulmonary functions and plasma MDA, GSH levels. More and comprehensive studies which tests different NAC doses are needed to determine the role for NAC in experimental sepsis model.

Our case was pre-diagnosed with appendicitis but during the surgery it was seen that the patient had cecal diverticulum perforation. Further, as the dissection continued appendicitis with retrocecal subserous localization was identified. The goal of our study is to underline the possibility that appendicitis in a rare localization can be overlooked in patients diagnosed with simultaneous cecal diverticulum complications. Although cecal diverticulum is a rare lesion, there are some difficulties regarding its diagnosis and treatment since its symptoms are similar to acute appendicitis when there is a complication. It can hardly be differentiated from acute appendicitis through physical examination and radiological imagining methods are mostly insufficient. Therefore, patients are generally diagnosed intraoperatively. Acute appendicitis is one of the most frequent causes of acute abdomen. Appendectomy, too, is the most frequently performed surgery among intraabdominal emergency surgical procedures. A good anamnesis and a careful and sufficient physical examination are very significant in the diagnosis of acute appendicitis. Alongside these, various laboratory and imaging techniques can be utilized. Although the appendix can be seen in different localizations, the retrocecal site is one of the rare localizations among all. In patients presenting to the emergency departments with complaints of right lower quadrant pain, many diseases, led by appendicitis, based on the patient’s age and sex should be taken into consideration. The possibility that these diseases may co-exist should always be remembered and, therefore, intra-operational exploration should be performed thoroughly.

The place of surgical treatment, except for the treatment of complications, in peptic ulcer gradually decreases. Helicobacter pylori eradication with proton pump inhibitors (PPI) and H2 receptors that have been used frequently recently have played important role in this decrease. One of the most common complications of peptic ulcer, though protective medicines, is still perforations and they are very common among surgical emergencies. The files of 311 patients with peptic ulcer perforation accepted to the clinic between 2000-2010 were examined retrospectively. The patients applied to our clinic with peptic ulcer perforation were examined in terms of age, sex, seasonal relation, and applied surgical technique. 206 of the patients were male with 52.8 mean age and 105 of them were female with 65.2 mean age. 266 of the patients were fixed with primary suture, 35 of them had bilateral truncal vagotomy+pyloroplasty and 10 were fixed laparoscopically. Average hospitalization time was 7 days. While wound infection developed in 25 of the patients, evisceration was developed in 8 patients, 9 patients were exetus. Over the last ten years there has been a change from definitive attempts to primary fixation and from laparotomy to laparoscopic methods for treatment of peptic ulcer perforations our clinic.

Bezoars are concretions in the gastrointestinal tract that increase in size by continuous accumulation of non-absorbable food or fibers. Most bezoars in children are trichobezoars from swallowed hair from the dolls or brushers. Trichobezoars typically cause abdominal pain and nausia, but can also present as an asymptomatic abdominal mass, progressing to intestinal obstruction and perforation. It is predominantly found in emotionally disturbed or mentally retarded youngers. We report a case of an unusual giant trichobezoar in 8-year-old girl. It was not extracted endoscopically, because it was huge and passed into the duodenum. Attempts at dissolving the bezoar with enzymes (papain) or meat tenderizers have not been efficacious. The abdomen was explored through a supraumblical median incision, an approximately 15X3 cm trichobezoar in diameter was identified in 50 cm distance from ileocecal segment, and was removed. In addition, ischemic and rupture 10 cm jejunal segment was repaired. These two rupture segments were repaired using Heineke Mikulicz procedure.

Ventriculo-peritoneal shunt, hydrocephalus, anüs

ANTEGRAD URETERAL STENTING; INDICATIONS - METHODS - COMPLICATIONS AND RADIOLOGICAL APPROACH TO  COMPLICATIONS

 

Abstract:

Objectives

The aim of this study is to evaluate the indications, success rate, complications, technical success enhancing method, methods of antegrad ureteral stenting and the radiological management of complications due to retrograde and antegrade ureteral stenting in the treatment of ureteral obstructions and ureteral leaks caused by malignant and benign etiologies.

Materials and Methods

In this retrospective study, fluoroscopy and US-guided antegrade ureteral stenting procedures between January 2016 and December 2018 were examined. The study included 110 antegrade ureteral stenting and percutaneous nephrostomy in a total of 78 patients with 25 female patients (32.05 %), a mean age of 65.87 (20-90) and 53 male patients (67.94%) with a mean age of 68.73 (30-90).  Demographic data, antegrade ureteral stenting indications, procedure results and complications were evaluated for each patient.

Results

Antegrade ureteral stenting is a good alternative for patients with retrograde ureteral stent placement and already with percutaneous nephrostomy catheters. It has a high technical success rate and low complication risk. The use of the equipment used in other radiological procedures in antegrade ureteral stenting increases the technical success. Malposition,  perforation, hemorrhage, urinoma, abscess complications such as retrograde or antegrade ureteral stenting can be managed by radiological methods.

Key Words: Double J Ureteral stent, Ureteral obstruction, Percutaneous, Antegrade, Hydronephrosis,

Intrauterine devices (IUDs) are the most commonly used method of contraception, worldwide, especially in developing countries. Uterine perforation by an IUD is a rare but an important complication of IUD insertion. In this case report; we present, a patient who had “a neglected lost IUD”, in whom string of IUD was not seen in her follow up examination. The patient was told that in spite of the absence of the string; it will reserve its contraceptive effect. The patient had uneventful pregnancy and delivered at term. Thirty eight years old patient who had gravida 4, parity 4 was referred to our clinic because of lost IUD. In her history she had normal vaginal delivery before 2 years, after 6 weeks IUD was introduced in a health centre. She had pelvic pain and consulted the same health centre where she was told that the string was not seen but it will reserve its contraceptive effect. The patient got pregnant and delivered a full term baby. She had normal gynecological examination uterus and adnexa were normal in ultrasonographic examination but an echo of IUD was seen in Douglas. The IUD was extracted laparoscopically. We think that uterine perforation occurred during insertion of the IUD and it passed to Douglas pouch. For patients who have IUDs with lost string we should determine the location of the IUD. Uterine perforation should be thought of when empty uterine cavity is seen.

It was been presented 6 massive intestinal resection cases due to acute mesenteric vasculary occlusion in 3 cases strangulated small bowel obstruction in one case, perforated Mediterranean lymphoma in one case and ascariasis in one case between 1983-1987 in Selçuk University Medicine Faculty Alt of them developed short bowel syndrome. Total parenteral nutrition (TPN) was applied up to adaptation for new condi-tion and prevention of and treat the early complications. Five cases were successful, one case died after two months postoperation. The highy early mortality and morbidity rate can be decreased by TPN in short bowel syndrome cases.

In this retrospective investigation, 106 children diagnosed as anaphylactoid purpura between 1983-1990 were evaluated. The disease was mostly encountered 5-14 years old. There was no sex predilection. 38% of the patients had predisposan factors and most of them were respiratory tract in-fections. The important symptorns were cutaneous manifestations, abdornirzal pain, limp pain consec-utively. Skin (100%), gastrointestinal system (65%), kidneys and musculoskeletal system (42%) were mainly allected. The leading cutaneous manifestations were purpuras and petechias. 38% of the pa-tients with gastrointestinal manifestations had hemorrhage. One patient was diagnosed as pancreaii-tis. The percent of the recurrences was 15%. The noticable laboratory abnormalities were the increas-ing of erythrocyte sedimentation rate, the elongation of prothrombin time, CRP and ASO positivity. [Jetirn perforation was developed during corticosteroid therapy in a case.

Aim: Mesenchymal tumors of the gastrointestinal tract other than gastrointestinal stromal tumors are rare and most of them are benign. The aim of this study to reveal the clinical and pathological features of non-gastrointestinal stromal tumor mesenchymal tumors of the gastrointestinal tract.

Materials and Methods: All gastrointestinal endoscopic and surgical resection materials, between 2008-2018, were retrospectively reviewed. Cases diagnosed with mesenchymal tumor other than gastrointestinal stromal tumors were included.

Results: Twenty four lipomas, 14 inflammatory fibroid polyps, six leiomyomas, four lymphangiomas, four hemangiomas, four schwannomas, two neuromas, two malignant melanomas, one leiomyosarcoma, one granular cell tumor and one Kaposi sarcoma were detected. The median ages of the cases were 61 years (29-87), the median tumor size was 1.5 cm (0.2-14). Thirty seven (58.7%) cases were female and 26 (41.3%) were male. They caused nonspecific symptoms. No recurrence or metastasis was detected after excision in benign tumors regardless of the pathological diagnosis.

Conclusion: Non-gastrointestinal stromal tumor mesenchymal tumors of the gastrointestinal tract are mostly small and benign tumors that can be seen at any age and are frequently seen in women. The most common ones are lipomas and inflammatory fibroid polyps. Most gastric tumors cause dyspeptic complaints and intestinal tumors cause abdominal pain, nausea or vomiting, as well as some of the intestinal tumors lead to serious, even fatal clinical situations such as acute and chronic bleeding, obstruction, perforation, volvulus or intussusception. For benign tumors’ treatment, excision is sufficient, they do not exhibit recurrence or metastasis.

Granulocytic sarcoma is extramedullary infiltration of leukemic cells and the involvement of the gastrointestinal tract is rare. These cases may present with abdominal pain, ileus, gastrointestinal bleeding and perforation. We present an acute myeloid leukemia patient that admitted with abdominal pain whose bone marrow is in remission after chemotherapy in whom the reason of abdominal pain was granulocytic sarcoma that occurred in the colon.