A case report of a rare omental extramedullary hematopoiesis in an adult: 'an idiopathic finding'. Issue 12 (31st December 2019)

• Record Type: Journal Article
• Authors: Haykal, Tarek; Yelangi, Anitha; Pandit, Trailokya; Bachuwa, Ghassan; Azher, Qazi
• Is Part Of: Oxford medical case reports. Volume 2019:Issue 12(2019)
• Page Start: 524
• Page End: 526
• Publication Date: 2019-12-31
• Subjects: Extramedullary hematopoiesis -- omentum -- malignancy; Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1093/omcr/omz131
• Languages: English
• ISSNs: 2053-8855

Abstract

Abstract: This is a case of a 62-year-old female, known to have multiple medical problems, who presented to her primary care physician with an intermittent abdominal pain and discomfort for a few months. The initial work-up showed mild leucocytosis and a small mass in the omentum. Given that the most concerning differential diagnosis was malignancy, the patient was referred to oncology, where biopsy of the mass showed omentum extramedullary hematopoiesis. The differential diagnosis was wide; however, a repeat computed tomography (CT) scan of the abdomen and pelvis did show persistence of the omental mass. After ruling out any possible causes, including myelofibrosis, with a normal bone marrow, her extramedullary hematopoiesis was deemed of unknown origin and with no clear explanation. Therefore, the patient was diagnosed with a rare adult idiopathic omental extramedullary hematopoiesis that was stable over time.