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Sarcoidosis Abdominal: Un Misterio Revisitado
Lovenish Bains1, Nidhi Paswan1, Soukat Ali Khan1
1Department of General Surgery Maulana Azad Medical College New Delhi India.
Clinical case reports
|December 12, 2025
Resumen
La sarcoidosis es una causa rara de linfadenopatía inexplicable. La laparoscopia diagnóstica es crucial para diagnosticar la sarcoidosis abdominal cuando otros métodos fallan, revelando lesiones granulomatosas características.
Área de la Ciencia:
- Gastroenterología
- Patología
- Oncología Quirúrgica
Sus antecedentes:
- La linfadenopatía inexplicable requiere una investigación exhaustiva.
- La sarcoidosis es una enfermedad rara y multisistémica que causa granulomas no caseificantes, con afectación abdominal que presenta desafíos diagnósticos.
Objetivo del estudio:
- Describir un caso de sarcoidosis abdominal.
- Destacar el papel de la laparoscopia en el diagnóstico de casos difíciles de sarcoidosis abdominal.
Principales métodos:
- Informe de caso de una mujer de 44 años con dolor abdominal y fatiga.
- Se utilizó ecografía, TC, biopsia guiada por EUS y gammagrafía con FDG-PET.
- Laparoscopia diagnóstica con biopsias de ganglios linfáticos e hígado.
Principales resultados:
- La imagen reveló ganglios linfáticos agrandados y esplenomegalia.
- Las biopsias iniciales mostraron linfadenitis granulomatosa pero carecieron de un diagnóstico definitivo.
- La laparoscopia identificó lesiones hepáticas, esplénicas y peritoneales consistentes con sarcoidosis.
Conclusiones:
- La sarcoidosis abdominal es rara, a menudo asintomática y mimetiza otras enfermedades.
- La laparoscopia diagnóstica es esencial para el diagnóstico histopatológico definitivo, especialmente en casos aislados.
- La correlación clinicopatológica y la exclusión de otras enfermedades son clave.
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