Appendicular sarcoidosis mimicking acute appendicitis
Identifieur interne : 002B12 ( Istex/Corpus ); précédent : 002B11; suivant : 002B13Appendicular sarcoidosis mimicking acute appendicitis
Auteurs : Tia Hunjan ; Muzzafer Chaudery ; Ahsan Zaidi ; Andrew D. BeggsSource :
- BMJ Case Reports [ 1757-790X ] ; 2012.
English descriptors
- Teeft :
Abstract
Appendicular sarcoidosis is a very rare cause of acute abdominal pain, with only seven cases reported previously in the literature. A 45-year-old woman, known to have sarcoidosis, presented to the emergency department with a 1-week history of epigastric and right iliac fossa abdominal pain. At diagnostic laparoscopy, an acutely inflamed appendix was found and removed as well as an omental mass which was biopsied. Subsequent histopathological examination of the appendix demonstrated appendicular sarcoidosis without acute appendicitis and chronic inflammatory changes in the omental biopsy. The patients’ symptoms completely resolved postoperatively. It is important to undertake urgent operative intervention in patients with sarcoidosis who present with right iliac fossa pain, owing to the high risk of perforation.
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DOI: 10.1136/bcr-2012-006825
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rid="af2">2</xref></contrib></contrib-group><aff id="af1"><label>1</label>Department of Surgery, Epsom and St Helier Hospital, London, UK</aff><aff id="af2"><label>2</label>St Georges University of London, London, UK</aff><author-notes><corresp><label>Correspondence to</label> Dr Andrew D Beggs, <email>abeggs@sgul.ac.uk</email></corresp></author-notes><pub-date pub-type="collection"><year>2012</year></pub-date><volume>2012</volume><volume-id pub-id-type="other">2012</volume-id><volume-id pub-id-type="other">2012</volume-id><elocation-id>bcr2012006825</elocation-id><permissions><copyright-statement>2012 BMJ Publishing Group Ltd</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="casereports-2012-bcr-2012-006825.pdf"></self-uri><abstract><p>Appendicular sarcoidosis is a very rare cause of acute abdominal pain, with only seven cases reported previously in the literature. A 45-year-old woman, known to have sarcoidosis, presented to the emergency department with a 1-week history of epigastric and right iliac fossa abdominal pain. At diagnostic laparoscopy, an acutely inflamed appendix was found and removed as well as an omental mass which was biopsied. Subsequent histopathological examination of the appendix demonstrated appendicular sarcoidosis without acute appendicitis and chronic inflammatory changes in the omental biopsy. The patients’ symptoms completely resolved postoperatively. It is important to undertake urgent operative intervention in patients with sarcoidosis who present with right iliac fossa pain, owing to the high risk of perforation.</p></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Appendicular sarcoidosis mimicking acute appendicitis</title><partName>Unusual association of diseases/symptoms</partName></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Appendicular sarcoidosis mimicking acute appendicitis</title><partName>Unusual association of diseases/symptoms</partName></titleInfo><name type="personal"><namePart type="given">Tia</namePart><namePart type="family">Hunjan</namePart><affiliation>Department of Surgery, Epsom and St Helier Hospital, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Muzzafer</namePart><namePart type="family">Chaudery</namePart><affiliation>Department of Surgery, Epsom and St Helier Hospital, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ahsan</namePart><namePart type="family">Zaidi</namePart><affiliation>Department of Surgery, Epsom and St Helier Hospital, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Andrew D</namePart><namePart type="family">Beggs</namePart><affiliation>St Georges University of London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="case-report" displayLabel="case-report" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-29919SZJ-6">case-report</genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2012</dateIssued><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract>Appendicular sarcoidosis is a very rare cause of acute abdominal pain, with only seven cases reported previously in the literature. 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