A 31-year-old man with abdominal pain, diarrhoea and constitutional syndrome

Authors

  • Beatriz Vélez-Gómez Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, Spain
  • Francisco Ruiz-Ruiz Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, Spain
  • Leire Ainz-Gómez Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, Spain
  • Pablo Baena-Palomino Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, Spain
  • Ignacio Marín-León Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, Spain

DOI:

https://doi.org/10.32818/reccmi.a2n1a4

Keywords:

extrapulmonary sarcoidosis, gastrointestinal disease, granulomas

Abstract

A 31-year-old male with paroxysmal abdominal pain of 2 months of evolution and diarrhea. The complementary tests revealed the presence of multiple lymphadenopathy, splenomegaly, hypodense focal lesions in the liver and spleen, as well as an intra-ileum mass in the terminal ileum. Finally the diagnosis of Sarcoidosis with mainly digestive affectation is established. There are few cases described in the scientific literature of gastrointestinal Sarcoidosis. A high clinical suspicion is necessary for the diagnosis, and this is established within a clinical-radiological and anatomopathological context, excluding other causes of granulomatosis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

King TE Jr. Extrapulmonary manifestations of sarcoidosis. En: Uptodate, Flaherty R, Hollingsworth MD (Ed.). Consultado el 5 de octubre de 2016.

Thermann P, Dollinger MM. Extrapulmonary sarcoidosis: gastrointestinal involvement, case report and review of literatura. Z Gastroenterol. 2016; 54(03): 238-244.

Soto-Gómez N, Peters JI, Nambiar AM. Diagnosis and Management of Sarcoidosis. Am Fam Physician. 2016 May 15; 93(10): 840-850.

Modaresi Esfeh J, Culver D, Plesec T, John B. Clinical presentation and protocol for management of hepatic sarcoidosis. Expert Rev Gastroenterol Hepatol. 2015 Mar; 9(3): 349-358.

Vanderhulst J. Gastric sarcoidosis: rare presentation of a rare disease. Acta Clin Belg. 2015 Feb; 70(1): 58-60.

Heinle R, Chang C. Diagnostic criteria for sarcoidosis. Autoimmun Rev. 2014 Apr-May; 13(4-5): 383-387.

Published

2017-04-30

How to Cite

1.
Vélez-Gómez B, Ruiz-Ruiz F, Ainz-Gómez L, Baena-Palomino P, Marín-León I. A 31-year-old man with abdominal pain, diarrhoea and constitutional syndrome. Rev Esp Casos Clin Med Intern [Internet]. 2017 Apr. 30 [cited 2024 Jul. 3];2(1):9-11. Available from: https://www.reccmi.com/RECCMI/article/view/81