Isolated sarcoidosis of accessory spleen in the greater omentum: A case report

Tu, Chaoyong; Lin, Qiaomei; Zhu, Jingde; Shao, Chuxiao; Zhang, Kun; Jiang, Chuan; Ding, Zhiyong; Zhou, Xingmu; Tu, Jiefei; Zhu, Wanlin; Chen, Wei

doi:10.3892/etm.2016.3221

Cited by 6 publications

(5 citation statements)

References 28 publications

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“…According to the literature in English language of the past 30 years (from 1987 to 2017) retrieved online from PubMed (https://www.ncbi.nlm.nih. gov/pubmed/), only 16 cases of pelvic AS have been reported, to the best of our knowledge (2,(4)(5)(6)(7)(8)(9)(10)(12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Discussionmentioning

confidence: 99%

Multiple pelvic accessory spleen: Rare case report with review of literature

et al. 2018

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Abstract. Accessory spleen (AS) usually presents as an isolated asymptomatic mass of splenic tissue separated from the body of the actual spleen. Multiple pelvic ASs are more unusual than single pelvic AS. The present study reported on the rare case of multiple pelvic AS. A 39-year-old Chinese woman presented at our hospital with complaints of abdominal pain for one week. A large pelvic mass behind the uterus was identified on ultrasound examination. Multiple AS in the pelvis was primarily considered during the operation and confirmed by histopathological examination after the surgery. The literature in English language was also reviewed by retrieving studies on AS published over the past 30 years, and it was discussed how to diagnose and treat pelvic AS. In conclusion, to the best of our knowledge, the present study provided the first case report of multiple pelvic AS. The gynecologist should be aware of the rare possibility of an AS in patients with abdominal and pelvic complaints and/or a pelvic mass. Pelvic AS is generally determined during radiological investigations or during open or laparoscopic surgeries.

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Section: Discussionmentioning

confidence: 99%

Multiple pelvic accessory spleen: Rare case report with review of literature

et al. 2018

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“…Peritoneal sarcoidosis is even more unusual with few anecdotal cases reported in literature and hemorrhagic ascites is extremely rare [ [12] , [13] , [14] ]. The most common reported manifestation are colicky abdominal pain, chills and feverishness [ [15] , [16] , [17] ], non-specific constitutional symptoms and obstruction may be present as well mimicking an intestinal cancer [ [18] , [19] , [20] ].…”

Section: Discussionmentioning

confidence: 99%

A life–threatening small bowel obstruction as onset of an unknown sarcoidosis: A case report

Paone

Steffanina

Rose

et al. 2021

Respiratory Medicine Case Reports

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Sarcoidosis is a systemic granulomatous disorder of unknown etiology characterized by non-caseating granulomas at the site of disease. A confident diagnosis should be established by the evidence of typical granulomas on biopsy and after exclusion of other conditions. Clinically recognizable Gastrointestinal involvement (GI) occurs in less than 1.6% of patients with sarcoidosis, with data revealing small intestine participation in 0.03% of the cases and few anecdotal reports describe a peritoneal presentation. Clinical manifestations of peritoneal sarcoidosis are abdominal discomfort, bloating, weight loss, epigastric and peri-umbilical pain with or without ascites, bowel obstruction. Treatment depends on symptoms and disease activity. Herein we describe the case of a 42-years-old male patient who developed an acute, life–threatening small bowel obstruction as first manifestation of sarcoidosis. To the best of our knowledge, this is the only report showing such extensive and acute onset of intra-abdominal sarcoidosis in the absence of a previous disease manifestation and without pulmonary involvement.

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“…10 CT scan is considered a more sensitive test in the setting of symptoms associated with involved organs such as the portal hypertension complication with liver sarcoidosis. [7][8][9][10][11] The clinical presentation of abdominal sarcoidosis is not specific and generally mimics other abdominal diagnoses such as small bowel obstruction or other obstructive pathology. Having such extensive disease of the gastrointestinal tract and surrounding organs without involvement of mediastinal structures is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

“…Some patients with isolated organ involvement such as the spleen or parts of the greater omentum have been treated surgically. 8 Extensive involvement of other abdominal organs without the presence of intestinal obstructive symptoms is usually treated with systemic steroids. 9 We treated our patient with surgical removal to alleviate the obstruction and confirm the diagnosis, followed by systemic steroids for a short period.…”

Section: Discussionmentioning

confidence: 99%

“…2,6 Intraabdominal sarcoidosis without pulmonary involvement is extremely rare; studies have shown that isolated intraabdominal sarcoidosis represents only approximately 10% of sarcoidosis cases. 7,8 In most of these cases, the isolated extrapulmonary sarcoidosis was confined to one or two organs such as the spleen alone, 7 the accessory spleen in the greater omentum, 8 or the liver and spleen. 9 We report the case of a 69-year-old female who presented with abdominal pain and changes in bowel habits and who was diagnosed with intraabdominal sarcoidosis.…”

Section: Introductionmentioning

confidence: 99%

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Extensive Abdominal Sarcoidosis Without Pulmonary Manifestation

Alatmi

Joury

Mubarak

2018

TOJ

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Background: Sarcoidosis is a rare multisystem disease of idiopathic etiology that affects different organs and is characterized histopathologically by the presence of noncaseating granulomas. The most common location of sarcoidosis is the lungs, accounting for approximately 95% of sarcoidosis cases. Coincident involvement of pulmonary and extrapulmonary organs is present in approximately one-third of patients. However, the sole involvement of intraabdominal organs is extremely rare. Intraabdominal sarcoidosis has a different presentation depending on the involved organs. To the best of our knowledge, a limited number of case reports have been published on intraabdominal sarcoidosis without pulmonary involvement. Case Report: A 69-year-old female patient presented with short onset of abdominal pain and change in bowel habits, without a significant medical history of abdominal problems. Physical examination only revealed generalized abdominal tenderness on deep palpation. Computed tomography of the abdomen and pelvis showed mild to moderate thickening of the omentum and other abdominal organs. After excluding various etiologies such as fungi and acid-fast bacilli, the omentum, ovaries, and surrounding lymph nodes were removed via a laparoscopic procedure. The histopathology report confirmed the diagnosis of intraabdominal sarcoidosis with the presence of noncaseating granulomas. Conclusion: Extrapulmonary sarcoidosis is a rare disease, and intraabdominal sarcoidosis might mimic other malignant etiologies. We treated our case with laparoscopic removal of involved organs and oral steroids with significant recovery during a short period.

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Isolated sarcoidosis of accessory spleen in the greater omentum: A case report

Cited by 6 publications

References 28 publications

Multiple pelvic accessory spleen: Rare case report with review of literature

Multiple pelvic accessory spleen: Rare case report with review of literature

A life–threatening small bowel obstruction as onset of an unknown sarcoidosis: A case report

Extensive Abdominal Sarcoidosis Without Pulmonary Manifestation

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