eng Science and Education Publishing American Journal of Medical Case Reports 2014-10-24 2 10 227 228 10.12691/ajmcr-2-10-8 AJMCR20142108 article Yasir Bashir 1 Fahim Manzoor 2 Shuaeb Bhat 2 Nusrat Bashir bashirnusrat@ymail.com 2 Shabeer Ahmad 3 Sajad Geelani 3 Javid Rasool 3 Department of Critical Care Medicine, Sher -I -Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India Department of Haematology, Sher -I -Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India Department of General Surgery, Sher -I -Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India Chronic myeloid leukemia(CML) usually remains asymptomatic and has varied clinical presentation. The disease usually has a chronic course till it goes into blast crisis when it develops fever, other constitutional symptoms and bleeding manifestations as seen in acute leukemia. Here, we present a case that came to our emergency department as a case of acute abdomen in the form of massive retroperitoneal hematoma and subsequently proved to be a case of Philadelphia positive CML with blast crisis. http://pubs.sciepub.com/ajmcr/2/10/8/ajmcr-2-10-8.pdf Chronic myeloid leukemia retroperitoneal hematoma