Multinodular splenic sarcoidosis: discordant CT and sonographic findings.

Franquet, Tomás; Oteo, José A.; Cozcolluela, R.; Casas, J.M.

doi:10.2214/ajr.156.5.2017945

Cited by 5 publications

(3 citation statements)

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“…Data on the typical sonographic appearance are limited. In one report, lesions visible on contrast-enhanced CT were not seen on sonography, suggesting that the acoustic impedance of the granulomas was similar to that of normal splenic tissue [28]. We have noted that splenic nodules resulting from sarcoidosis show a slightly hyperechoic or inhomogeneous appearance (Figs.…”

Section: Spleenmentioning

confidence: 92%

Imaging Manifestations of Abdominal Sarcoidosis

Warshauer

Lee²

2004

American Journal of Roentgenology

185

139

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Section: Spleenmentioning

confidence: 92%

Imaging Manifestations of Abdominal Sarcoidosis

Warshauer

Lee²

2004

American Journal of Roentgenology

185

139

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“…Tana et al (31) speculated that this may be related to different vascularization of the lesions and suggested the need for further studies before making definite conclusions. In one report, lesions visible on contrast-enhanced CT were not observed under sonography, suggesting that the acoustic impedance of the granulomas was similar to that of normal splenic tissue (11,32). Dynamic gadolinium-enhanced MRI is useful in characterizing splenic lesions and narrowing the differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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

Lin

Zhu

et al. 2016

Experimental and Therapeutic Medicine

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Sarcoidosis is a multisystemic disease of unknown origin characterized by the formation of non-caseating granulomas. Thoracic involvement is the most common presentation; however, sarcoidosis can involve almost any other organ. To the best of our knowledge there have been only 10 cases of splenic sarcoidosis reported in the English literature, with no reports of sarcoidosis of an accessory spleen. The present study reports a case of isolated sarcoidosis of an accessory spleen in the greater omentum, which was identified postoperatively in a 44-year-old female. Chest X-ray results were normal. Gastric endoscopy demonstrated an ulcer in the antrum, which was confirmed to be a signet-ring cell carcinoma via biopsy. Computed tomography of the abdomen revealed mild thickening of the posterior antrum, and a mass in the inferior pole of the left kidney. Intraoperatively, no masses were detected in the liver and spleen. Moreover, no enlarged lymph nodes were detected in the abdominal cavity, pelvic cavity, mesenteric and para-aorta. Following a radical distal gastrectomy and left radical nephrectomy, postoperative pathology demonstrated signet-ring cell carcinoma in the antrum, left renal clear cell cancer and a red lesion measuring 0.5×0.5 cm in the greater omentum, which was similar to the spleen in the splenic cavity and was regarded as an accessory spleen. Following exclusion of fungi and acid-fast bacilli as causative agents, sarcoidosis of the accessory spleen in the greater omentum was confirmed. The patient recovered uneventfully and was discharged on day 8 postoperation. The patient remained alive after two-year follow-up without sarcoidosis and malignant tumor recurrence. The present case demonstrated that, intraoperatively, comprehensive exploration should be conducted to exclude the accessory spleen, which may also suffer from sarcoidosis.

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“…Peripheral enhancement is not seen [ 11 ]. In one report, lesions visible on contrast-enhanced CT were not seen on sonography, suggesting that the acoustic impedance of the granulomas was similar to that of normal splenic tissue [ 12 ]. In our case also, lesions were not seen on ultrasound.…”

Section: Discussionmentioning

confidence: 99%