Case Presentation: A 27-year-old male with end stage renal disease from focal segmental glomerulosclerosis with living donor transplant and progression to chronic kidney disease presented with 2 weeks of diarrhea, proctalgia, and hematochezia. On presentation he was afebrile and hemodynamically stable. Rectal exam showed significant tenderness, no hemorrhoids or fluctuance, and mucous-like drainage. Labs showed [...]

Case Presentation: Gastrointestinal (GI) manifestation of chronic lymphocytic leukemia (CLL) is very rare. This usually occurs after acute blastic transformation of CLL to diffuse large B-cell lymphoma called Richter transformation (RT). We report the first case in literature of anal ulceration caused by CLL without RT.A 67-year-old female with a history of partially treated CLL [...]