Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 22 aprilie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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ISOLATED ILEAL SARCOIDOSIS PRESENTING AS APPENDICITIS
N. Panda
Department of General Surgery, Bankura Sammilani Medical College and Hospital, Gobindonagar, Bankura, West Bengal, India
Jurnalul de chirurgie 2010; 6 (4): 538-542
Full text:
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Abstract:

Background:  Sarcoidosis is a granulomatous disorder of unknown etiology-with potential to involve multiple organs. The most commonly involved organs are lungs, lymph nodes and spleen. The true incidence of intestinal involvement is not known as it is very rare. Case Report: We report a case of a 54-year-old male with suspected sarcoidosis in remission for 10 years who presented with clinical features of acute appendicitis. On table appendix was found to be normal but terminal ileum up to ileo-caecal junction was inflamed with patchy necrosis. A limited right hemi-colectomy was done   and histology confirmed sarcoidosis. Postoperative recovery was uneventful and patient remained asymptomatic until one year of follow up. Conclusion: Isolated terminal ileitis presenting like appendicitis in systemic sarcoidosis, especially in remission was unknown before. This case and the literature review highlights this phenomena and guide management.

KEY WORDS: SARCOIDOSIS, ILEAL SARCOIDOSIS, INTESTINAL SARCOIDOSIS, GRANULOMA, ANGIOTENSIN CONVERTING ENZYME

Correspondence to: Dr. Nilanjan Panda, MBBS, MS, MRCSEd, DNB, RMO cum Clinical Tutor, Department of Surgery, Bankura Sammilani Medical College, Gobindonagar, Bankura, West Bengal, India Pin 722102, phone 00919748774942, email:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.