title: Abdominal Sarcoidosis May Mimic Peritoneal Carcinomatosis.
abstract: Sarcoidosis is a multisystem inflammatory disorder of unknown etiology. It shows a great variety of clinical presentation, organ involvement, and disease progression. Lungs and lymphoid system are the most common sites involved with a frequency of 90% and 30%, respectively. Extrapulmonary involvement of sarcoidosis is reported in 30% of patients and abdomen is the most frequent site. Furthermore, peritoneal involvement is extremely rare in sarcoidosis. The case presented here described peritoneal manifestations of sarcoidosis without involvement of lungs. A 78-year-old woman possessing signs of malignancy on blood test and abdominal magnetic resonance imaging underwent laparatomy with a suspicion of ovarian malignancy. The macroscopic interpretation during surgery was peritoneal carcinomatosis. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, peritoneal biopsies, total omentectomy, and appendectomy were performed. Final histopathological result revealed the diagnosis of sarcoidosis. Clinicians must keep in mind that peritoneal sarcoidosis can mimic intra-abdominal malignancies.
authors.affiliation: Department of Obstetrics and Gynecology, Hitit University Faculty of Medicine, 19040 Çorum, Turkey.
authors.forename: Umit
authors.initials: U
authors.lastname: Gorkem
authors.affiliation: Department of Obstetrics and Gynecology, Hitit University Faculty of Medicine, 19040 Çorum, Turkey.
authors.forename: Tayfun
authors.initials: T
authors.lastname: Gungor
authors.affiliation: Department of Pathology, Hitit University Hospital, 19040 Çorum, Turkey.
authors.forename: Yılmaz
authors.initials: Y
authors.lastname: Bas
authors.affiliation: Department of Obstetrics and Gynecology, Hitit University Faculty of Medicine, 19040 Çorum, Turkey.
authors.forename: Cihan
authors.initials: C
authors.lastname: Togrul