Acute gastric volvulus presenting with gastric outlet obstruction and upper gastrointestinal bleeding.

nancies, both solid tumors and hematologic malignancies, have been described in patients with CLL/SLL. The greatest risk is for skin cancer (7). Other solid tumors such as renal cell carcinoma, head and neck cancers, lung cancers, and colon cancer have been reported in association with CLL/SLL (3, 6). The increased cancer risk remained relatively constant over time since diagnosis of CLL/SLL, and was observed in both men and women, although men were at significantly higher relative risk than women (6). This is the first reported case in English literature of simultaneous gastric cardiac adenocarcinoma and leiomyoma in association with CLL/SLL infiltration in the perigastric lymph nodes and spleen. Figure 5. SMA expression of spindle cell tumor (H&E x200)