A 62 year-old woman, diagnosed with and on treatment for hypertension, was referred to the Haematology Department at the Royal Hospital, Oman, with an accidental finding of increased white blood cells (WBC) in her full blood count, a total of 76 x 109/L. There was history of giddiness, fever and easy fatigability prior to presentation.The main presentations in patients with AML include peripheral blood and bone marrow involvement. Extramedullary presentations, such as head and neck swellings, have been reported. In our literature search, we found only a few cases with some resemblance to ours.