Unusual Small Bowel Obstruction CMML Mesenteric Panniculitis Case Study

An unusual cause of small bowel obstruction… Senior Clinicopathologic Conference Andrew S Kim, MD April 23, 2008 Walter Reed Army Medical Center

History of Present Illness ,[object Object],[object Object],[object Object],[object Object],[object Object]

History of Present Illness ,[object Object],[object Object],[object Object],[object Object]

Other Past Medical/Surgical History ,[object Object],[object Object],[object Object],[object Object],[object Object]

Social History ,[object Object],[object Object],[object Object]

Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Labs/Path Reports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Initial Hospital Course ,[object Object],[object Object],[object Object],[object Object]

Initial Hospital Course ,[object Object],[object Object],[object Object],[object Object],[object Object]

Initial Hospital Course ,[object Object],[object Object],[object Object]

Tissue slides and BM biopsy: ,[object Object],[object Object],[object Object]

Summary Biopsy Results: ,[object Object],[object Object],[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Epidemiology ,[object Object],[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Etiologies 8 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Diagnosis ,[object Object],[object Object]

Mesenteric Panniculitis: Radiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Histology ,[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Treatment 7-10 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mesenteric Panniculitis: Cause? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What’s left? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chronic Myelomonocytic Leukemia: CMML ,[object Object],[object Object],[object Object]

CMML - A Disease in the Shadows ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Faces of CMML ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The Faces of CMML ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnosis of CMML ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CMML - Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CMML - Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CMML and TKIs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Transplant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Subsequent Hospital Course ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Subsequent Hospital Course ,[object Object],[object Object],[object Object],[object Object]

The Mayo Clinic ,[object Object],[object Object],[object Object],[object Object]

The Mayo Clinic ,[object Object],[object Object],[object Object],www.healthsystem.virginia.edu/internet/hematology

Acknowledgements/Questions ,[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Unusual Small Bowel Obstruction CMML Mesenteric Panniculitis Case Study

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Unusual Small Bowel Obstruction CMML Mesenteric Panniculitis Case Study