Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Jung-dong, Wonmi-gu, Bucheon-si, Gyeonggi-do, Seoul, Republic of Korea.
Epidural sacral nerve compression as an initial feature of leukaemia is a rare complication. The findings in a 16-year-old boy who presented to an emergency department with symptoms of faecal incontinence are reported herein. Radiological imaging demonstrated soft-tissue masses in the sacral epidural space. The diagnosis of acute myeloid leukaemia was confirmed on bone marrow aspirate. The characteristics and management of extramedullary leukaemia are discussed.