[Mesocolic and mesenteric lymph node granulomatosis together with a sarcoidosis (author's transl)].
The authors report the case of a 22 year old woman with a recognized pulmonary sarcoidosis with disorders of the alveolo-capillary diffusion, admitted to hospital for feverish diarrhea. The discovery of right colic radiological lesions with no obvious origin, led to an exploring laparotomy which revealed large mesocolic and mesenteric adenopathies: histologically they were granulomatous lesions, of epithelioid and giant cells, tending to sclerosis. Colic and ileal mucosae were normal. From this observation the authors analyze the difficulties in diagnosing granulomatoses of the intestine and mesenteric lymph nodes and their eventual sarcoidic nature. Because of the lack of arguments in favour of tuberculosis and of the normal appearance of the intestinal coats, the sarcoidic etiology of these adenopathies appears most probable.
D000328:Adult; D005260:Female; D006099:Granuloma / Q000209:etiology*; D006801:Humans; D008206:Lymphatic Diseases / Q000175:diagnosis*; D008640:Mesenteric Lymphadenitis / Q000175:diagnosis; D008646:Mesocolon; D012507:Sarcoidosis / Q000175:diagnosis*
Granulomatose ganglionnaire mésocolique et mésentérique au cours d'une sarcoïdose.