title: Peritoneal sarcoidosis:an unusual cause of ascites.
abstract: An 83-year-old male presented with distended abdomen. A computed tomography scan demonstrated pleural effusion, ascites, peritoneal thickness, and panniculitis. Multiple small white nodules of peritoneum were observed during a laparoscopy examination, and biopsy specimens revealed noncaseating granulomas. Gallium scintigram demonstrated an accumulation in the peritoneum and revealed a panda sign that has been described as an indication of sarcoidosis. Although sarcoidosis rarely induces peritonitis with ascites, peritoneal sarcoidosis was diagnosed and he began receiving steroid therapy. After primary steroid therapy, his ascites completely disappeared, and he has maintained a complete response with continuous low dose steroid therapy.
authors.affiliation: Department of Gastroenterology, Kanagawa Prefectural Ashigarakami Hospital.
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Kunishi
authors.forename: Koichiro
authors.initials: K
authors.lastname: Yoshie
authors.forename: Mitsuyasu
authors.initials: M
authors.lastname: Ota
authors.forename: Yoriko
authors.initials: Y
authors.lastname: Kuboi
authors.forename: Masatomo
authors.initials: M
authors.lastname: Kanno
authors.forename: Satoshi
authors.initials: S
authors.lastname: Tanaka
authors.forename: Takafumi
authors.initials: T
authors.lastname: Yanagibashi
authors.forename: Mao
authors.initials: M
authors.lastname: Matsubayashi
authors.forename: Yoshiteru
authors.initials: Y
authors.lastname: Hao
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Kameda
mesh_terms: D000369:Aged, 80 and over; D001201:Ascites / Q000209:etiology*; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D012507:Sarcoidosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome