Author/Authors :
l Ceylan,Eme Departments of Pulmonary Medicine - Department of Pulmonary Medicine - Atatürk State Hospital - Aydin, Turkey , Çildağ, Orhan Departments of Pulmonary Medicine - Department of Pulmonary Medicine - Atatürk State Hospital - Aydin, Turkey , Şen, Serdar Thoracic Surgery - Department of Pulmonary Medicine - Atatürk State Hospital - Aydin, Turkey , Coşkun, Adil Gastroenterology - Department of Pulmonary Medicine - Atatürk State Hospital - Aydin, Turkey , Meteoğlu, İbrahim Pathology - Adnan Menderes University - Department of Pulmonary Medicine - Atatürk State Hospital - Aydin, Turkey , Demirtaş, Nimet Department of Pulmonary Medicine - Atatürk State Hospital - Aydin, Turkey
Abstract :
Sarcoidosis is a granulomatous disorder mostly could involve intrathoracic structures. Th e gastric involvement is rare and the
symptoms may be non-specifi c. 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 eff usion on the left side. Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric
lymphadenomegalies with pathological uptake of 18F-fl uoro-2-deoxy-d-glucose. Pathological examination of the lung biopsy taken
by thoracotomy demonstrated non-caseating granulomas. Th e gastric biopsies taken by endoscopy also showed non-caseating
granulomas consistent with a diagnosis of sarcoidosis.