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Hepatic and Gastric Involvement in a Case of Systemic Sarcoidosis Presenting with Rupture of Esophageal Varices
- Source :
- Internal Medicine
- Publication Year :
- 2017
- Publisher :
- Japanese Society of Internal Medicine, 2017.
-
Abstract
- A 46-year-old woman presented with massive hematemesis, caused by the rupture of esophageal varices. The laboratory investigations showed pancytopenia, and imaging tests revealed hepatosplenomegaly and ascites. A diagnosis of systemic sarcoidosis was made based on biopsies of the liver, stomach, lungs, heart, and skin. Although fat deposition was predominant, non-caseating granuloma and cirrhotic changes were found in the liver. Non-caseating granuloma was also identified in a biopsy specimen from minute depressions of the gastric folds. This case illustrates the rare involvement of the digestive system in a case of systemic sarcoidosis.
- Subjects :
- medicine.medical_specialty
Sarcoidosis
Biopsy
laparoscopy
esophagogastroduodenoscopy
Hepatosplenomegaly
Case Report
Esophageal and Gastric Varices
Gastroenterology
03 medical and health sciences
0302 clinical medicine
Esophageal varices
Adrenal Cortex Hormones
Internal medicine
systemic sarcoidosis
Ascites
Internal Medicine
medicine
Humans
Rupture
Granuloma
medicine.diagnostic_test
business.industry
Esophagogastroduodenoscopy
Liver Diseases
Stomach
Hematemesis
General Medicine
Middle Aged
medicine.disease
Pancytopenia
Treatment Outcome
gastric involvement
medicine.anatomical_structure
030220 oncology & carcinogenesis
Female
030211 gastroenterology & hepatology
hepatic involvement
Radiology
medicine.symptom
business
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 56
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....5ea93c3d7980c6bf69a52139d655bd79