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Semin Respir Crit Care Med 2002; 23(6): 597-600
DOI: 10.1055/s-2002-36523
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Case Report: Peritoneal Sarcoidosis in an Unusual Location

Jorge Bernaciak1 , Juan Carlos Spina2 , Marisela Luisa Curros2 , Gustavo Maya3 , Julio Venditti4 , Carolina Chacon2
  • 1Department of Internal Medicine and Pulmonary Diseases, British Hospital, Buenos Aires, Argentina
  • 2Department of Radiology, British Hospital, Buenos Aires, Argentina
  • 3Department of Gynecology, British Hospital, Buenos Aires, Argentina
  • 4Department of Pathology, British Hospital, Buenos Aires, Argentina
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Publication History

Publication Date:
07 January 2003 (online)

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ABSTRACT

A 48-year-old woman underwent surgery for a lesion seen on ultrasound and interpreted as a uterine myoma. The surgery revealed multiple nodules that had seeded on the omentum, peritoneum, and ovaries. The macroscopic interpretation was either metastasis or tuberculosis. The biopsy showed noncaseating granulomas, and a diagnosis of peritoneal sarcoidosis was reported. The AFB (acid fast bacillus) and Löwenstein-Jensen culture were negative. She was treated with methylprednisolone for 1 year for pulmonary sarcoidosis progression, with a resulting decrease in her DLCO (diffusing lung capacity for carbon monoxide). Computed tomography showed only a slight decrease in the multiple nodules and cysts. She is currently symptom-free.

KEYWORD

Extrathoracic sarcoidosis - peritoneal sarcoidosis - peritoneal cysts - peritoneal sarcoidosis versus peritoneal tuberculosis

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