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Unusual Presentation of a Colonic Sarcoidosis
Joint Authors
Triki, Wissem
Zaouche, Abdeljelil
El Jeri, Kaouther
Daldoul, Sami
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-03-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Sarcoidosis is a multisystemic disorder of unknown cause that affects almost every tissue in the body.
Colon is an extremely rare location of this disease.
Clinical presentation, endoscopic appearances, and radiologic findings are not specific and may mimic much other affection.
We report the case of a 64-year-old woman with inactive pulmonary sarcoidosis who presented alternating constipation and diarrhea.
Colonoscopy revealed a stenotic tumor in the ascending colon.
Histology failed to determine the nature of the lesion.
Radiologic findings are those of a long stenotic tumor of the ascending colon associated with a multiple satellite lymphadenopathy.
Endoscopic and radiologic descriptions are highly suggestive of a malignancy.
The patient underwent a laparotomy, and a right hemicolectomy was performed.
Examination of the resected specimen showed follicular structure with central epitheloid and giant cells and surrounding fibroblasts.
These findings made the diagnosis of colonic sarcoidosis.
The nonspecificity of the endoscopic and radiological signs of gastrointestinal sarcoidosis and the extreme rarity of colonic location make the preoperative diagnosis unlikely.
The diagnosis will be then made only on histological examination of surgical specimens.
We describe, through this observation, the results of paraclinical investigations that can suggest diagnosis and perhaps avoid surgery.
American Psychological Association (APA)
Daldoul, Sami& Triki, Wissem& El Jeri, Kaouther& Zaouche, Abdeljelil. 2012. Unusual Presentation of a Colonic Sarcoidosis. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-451443
Modern Language Association (MLA)
Daldoul, Sami…[et al.]. Unusual Presentation of a Colonic Sarcoidosis. Case Reports in Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-451443
American Medical Association (AMA)
Daldoul, Sami& Triki, Wissem& El Jeri, Kaouther& Zaouche, Abdeljelil. Unusual Presentation of a Colonic Sarcoidosis. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-451443
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451443