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Peritoneal sarcoidosis: A case report

RATIONALE: Sarcoidosis is an idiopathic granulomatous disease. Although the lungs are most commonly involved, any organ may be affected. To assist with future diagnoses, we describe a rare case of peritoneal sarcoidosis in a young female patient, and present a literature review. PATIENT CONCERNS: A...

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Autores principales: Lee, Seung Wook, Lee, Min Hee, Lee, Ji Eun, Choi, Seo Youn, Yi, Boem Ha, Jung, Jung Min
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587601/
https://www.ncbi.nlm.nih.gov/pubmed/31192941
http://dx.doi.org/10.1097/MD.0000000000016001
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author Lee, Seung Wook
Lee, Min Hee
Lee, Ji Eun
Choi, Seo Youn
Yi, Boem Ha
Jung, Jung Min
author_facet Lee, Seung Wook
Lee, Min Hee
Lee, Ji Eun
Choi, Seo Youn
Yi, Boem Ha
Jung, Jung Min
author_sort Lee, Seung Wook
collection PubMed
description RATIONALE: Sarcoidosis is an idiopathic granulomatous disease. Although the lungs are most commonly involved, any organ may be affected. To assist with future diagnoses, we describe a rare case of peritoneal sarcoidosis in a young female patient, and present a literature review. PATIENT CONCERNS: A 32-year-old female patient presented to our institution with abdominal discomfort. She was evaluated with contrast-enhanced abdominal computed tomography (CT), and multiple enlarged lymph nodes were detected at the hepatic artery and left gastric artery nodal stations. The patient was lost during follow-up, but returned after 7 months and again underwent abdominal CT. This revealed diffuse nodular thickening of the peritoneum and the appearance of omental cake in her abdomen. DIAGNOSIS: Excisional biopsy of a lymph node was performed and extrapulmonary sarcoidosis was confirmed. INTERVENTIONS: The patient was treated with corticosteroid. OUTCOMES: A follow-up abdominal CT scan after two weeks revealed decreases in the numbers and sizes of the previously enlarged lymph nodes, and improvement in the ascites and peritoneal thickening. LESSIONS: Peritoneal sarcoidosis should be considered as an additional differential diagnosis when peritoneal carcinomatosis or tuberculous peritonitis are suspected. In this regard, serum levels of angiotensin-converting enzyme (ACE) may be a valuable diagnostic indicator of unusual sarcoidosis presentations.
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spelling pubmed-65876012019-06-24 Peritoneal sarcoidosis: A case report Lee, Seung Wook Lee, Min Hee Lee, Ji Eun Choi, Seo Youn Yi, Boem Ha Jung, Jung Min Medicine (Baltimore) Research Article RATIONALE: Sarcoidosis is an idiopathic granulomatous disease. Although the lungs are most commonly involved, any organ may be affected. To assist with future diagnoses, we describe a rare case of peritoneal sarcoidosis in a young female patient, and present a literature review. PATIENT CONCERNS: A 32-year-old female patient presented to our institution with abdominal discomfort. She was evaluated with contrast-enhanced abdominal computed tomography (CT), and multiple enlarged lymph nodes were detected at the hepatic artery and left gastric artery nodal stations. The patient was lost during follow-up, but returned after 7 months and again underwent abdominal CT. This revealed diffuse nodular thickening of the peritoneum and the appearance of omental cake in her abdomen. DIAGNOSIS: Excisional biopsy of a lymph node was performed and extrapulmonary sarcoidosis was confirmed. INTERVENTIONS: The patient was treated with corticosteroid. OUTCOMES: A follow-up abdominal CT scan after two weeks revealed decreases in the numbers and sizes of the previously enlarged lymph nodes, and improvement in the ascites and peritoneal thickening. LESSIONS: Peritoneal sarcoidosis should be considered as an additional differential diagnosis when peritoneal carcinomatosis or tuberculous peritonitis are suspected. In this regard, serum levels of angiotensin-converting enzyme (ACE) may be a valuable diagnostic indicator of unusual sarcoidosis presentations. Wolters Kluwer Health 2019-06-14 /pmc/articles/PMC6587601/ /pubmed/31192941 http://dx.doi.org/10.1097/MD.0000000000016001 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Lee, Seung Wook
Lee, Min Hee
Lee, Ji Eun
Choi, Seo Youn
Yi, Boem Ha
Jung, Jung Min
Peritoneal sarcoidosis: A case report
title Peritoneal sarcoidosis: A case report
title_full Peritoneal sarcoidosis: A case report
title_fullStr Peritoneal sarcoidosis: A case report
title_full_unstemmed Peritoneal sarcoidosis: A case report
title_short Peritoneal sarcoidosis: A case report
title_sort peritoneal sarcoidosis: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587601/
https://www.ncbi.nlm.nih.gov/pubmed/31192941
http://dx.doi.org/10.1097/MD.0000000000016001
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