Gastric involvement of sarcoidosis in a patient with multiple lung nodules.
Sarcoidosis is a granulomatous disorder mostly could involve intrathoracic structures. The gastric involvement is rare and the symptoms may be non-specific. 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 effusion on the left side. Positron emission tomography/CT showed lung nodules and gastric involvement with mesenteric lymphadenomegalies with pathological uptake of 18F-fluoro-2-deoxy-d-glucose. Pathological examination of the lung biopsy taken by thoracotomy demonstrated non-caseating granulomas. The gastric biopsies taken by endoscopy also showed non-caseating granulomas consistent with a diagnosis of sarcoidosis.
Department of Pulmonary Medicine, Adnan Menderes University, Aydin, Turkey.
Emel
E
Ceylan
Department of Thoracic Surgery, Adnan Menderes University, Aydin, Turkey.
Serdar
S
Şen
Department of Gastroenterology, Adnan Menderes University, Aydin, Turkey.
Adil
A
Coşkun
Department of Pathology, Adnan Menderes University, Aydin, Turkey.
İbrahim
İ
Meteoğlu
Department of Pulmonary Medicine, Atatürk State Hospital, Aydin, Turkey.
Nimet
N
Demirtaş
Department of Pulmonary Medicine, Adnan Menderes University, Aydin, Turkey.
Orhan
O
Çildağ
Granulomatous gastritis; pulmonary nodules; sarcoidosis