Description of Specimen
There are two short lengths of small intestine displayed; the mucosal pattern is distorted by an
irregular infiltrate, which has produced thickening; in some areas there are nodules with an
umbilicated centre. There are areas of haemorrhage and ulceration. The serosal surface appears
normal.
History
This young man was admitted to hospital on 9th October 1974, with a six-week history
of abdominal pain; more recently, his abdomen had been distended, and he showed peripheral
oedema. On examination, he showed a right facial nerve palsy, and a left testicular enlargement;
the testes were removed, and showed a leukaemic infiltrate. Further examination established the
diagnosis of acute myelo-monocytic leukaemia. He died on the 22nd November 1974.