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Gastric involvement of sarcoidosis in a patient with multiple lung nodules.

Ceylan E, Şen S, Coşkun A, Meteoğlu İ, Demirtaş N, Çildağ O - J Res Med Sci (2015)

Bottom Line: The gastric involvement is rare and the symptoms may be non-specific.Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose.Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Adnan Menderes University, Aydin, Turkey.

ABSTRACT
Sarcoidosis is a granulomatous disorder mostly could involve intrathoracic structures. The gastric involvement is rare and the symptoms may be non-specific. We herein report a case of a 56-year-old female patient who was admitted due to chest tightness and discomfort. Computed tomography (CT) of the thorax revealed bilaterally nodular lesions in the lower lobes of the lung and pleural effusion on the left side. Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose. Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas. The gastric biopsies taken by endoscopy also showed non-caseating granulomas consistent with a diagnosis of sarcoidosis.

No MeSH data available.


Related in: MedlinePlus

Thorax computed tomography from different sections of the thorax. Minimal amount of pleural effusion associated with collapsed lung with air bronchogram in the left hemithorax and bilateral discrete nodules in different sizes were seen
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Figure 1: Thorax computed tomography from different sections of the thorax. Minimal amount of pleural effusion associated with collapsed lung with air bronchogram in the left hemithorax and bilateral discrete nodules in different sizes were seen

Mentions: Chest X-ray and thorax CT showed pleural nodularity associated with pleural effusion in the left side of the thorax. A polygonal subpleural nodule with 6 mm in diameter was identified in the posterior part of the right upper lobe [Figure 1]. CT of the abdomen showed several paraaortic lymphadenomegalies reaching maximally about 1.5 cm in diameter and the gallbladder surgically removed.


Gastric involvement of sarcoidosis in a patient with multiple lung nodules.

Ceylan E, Şen S, Coşkun A, Meteoğlu İ, Demirtaş N, Çildağ O - J Res Med Sci (2015)

Thorax computed tomography from different sections of the thorax. Minimal amount of pleural effusion associated with collapsed lung with air bronchogram in the left hemithorax and bilateral discrete nodules in different sizes were seen
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4590208&req=5

Figure 1: Thorax computed tomography from different sections of the thorax. Minimal amount of pleural effusion associated with collapsed lung with air bronchogram in the left hemithorax and bilateral discrete nodules in different sizes were seen
Mentions: Chest X-ray and thorax CT showed pleural nodularity associated with pleural effusion in the left side of the thorax. A polygonal subpleural nodule with 6 mm in diameter was identified in the posterior part of the right upper lobe [Figure 1]. CT of the abdomen showed several paraaortic lymphadenomegalies reaching maximally about 1.5 cm in diameter and the gallbladder surgically removed.

Bottom Line: The gastric involvement is rare and the symptoms may be non-specific.Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose.Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Adnan Menderes University, Aydin, Turkey.

ABSTRACT
Sarcoidosis is a granulomatous disorder mostly could involve intrathoracic structures. The gastric involvement is rare and the symptoms may be non-specific. We herein report a case of a 56-year-old female patient who was admitted due to chest tightness and discomfort. Computed tomography (CT) of the thorax revealed bilaterally nodular lesions in the lower lobes of the lung and pleural effusion on the left side. Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose. Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas. The gastric biopsies taken by endoscopy also showed non-caseating granulomas consistent with a diagnosis of sarcoidosis.

No MeSH data available.


Related in: MedlinePlus