[Splenic sarcoidosis diagnosed by US-guided biopsy: About a case]

Rev Med Interne. 2018 Mar;39(3):200-202. doi: 10.1016/j.revmed.2017.11.012. Epub 2017 Dec 21.
[Article in French]

Abstract

Introduction: Splenic localisation of sarcoidosis is common but rare as unique location. We report a case diagnosed by US-guided biopsy.

Observation: A 42-year-old woman presented atypic and recidivant epigastric pain. Abdominal ultrasound showed splenic hypoechoic nodules not characterizable with CT or MRI. PET-CT revealed hypermetabolism without any other abnormal metabolic activity. US-guided biopsy with small needle achieved diagnosis of isolated splenic sarcoidosis.

Conclusion: Diagnosis of splenic nodular sarcoidosis can be challenging without any other localization. Splenic biopsy achieved diagnosis. This procedure is associated with a low risk of complications - in particular hemorragic ones. Diagnostic splenectomy should be an exceptional intervention.

Keywords: Atteinte splénique; Ponction écho-guidée; Sarcoidosis; Sarcoïdose; Splenic localisation; US-guided biopsy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Image-Guided Biopsy / methods
  • Sarcoidosis / diagnosis*
  • Sarcoidosis / pathology
  • Spleen / diagnostic imaging*
  • Spleen / pathology*
  • Splenic Diseases / diagnosis*
  • Splenic Diseases / pathology
  • Ultrasonography, Interventional*