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[Splenic sarcoidosis diagnosed by US-guided biopsy: About a case]
A Gaudemer1, G Sauvet1, A Hij1
1Service de médecine interne et pathologie vasculaire, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
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.
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