Crtical Care and Shock Journal

Abdominal Sarcoidosis

,

Overview

Abstract

Abdominal sarcoidosis is an uncommon form of sarcoidosis. The clinical presentation of esophageal, gastric, small bowel, colon, appendicular, spleen, pancreas, and abdominal aortic sarcoidosis are discussed in this review. The differential diagnosis of abdominal sarcoidosis is extensive. Other granulomatous diseases including tuberculosis, fungal infections, parasitic diseases, inflammatory bowel disease, and Whipple’s disease should be excluded before making the diagnosis of gastrointestinal sarcoidosis. Corticosteroid therapy is the mainstay of medical therapy in abdominal sarcoidosis. Second line agents such as methotrexate are also discussed. Surgical intervention may be necessary in patients with bowel obstruction, perforation, or massive hemorrhage. The authors also provide their experience regarding preoperative pulmonary evaluation of patients with pulmonary sarcoidosis undergoing surgery.

Bobbak Vahid, Timothy Lin

Download PDF

Archives

Current issue

October 2024, Volume 27 Number 5

Awarded Top 30 Critical Care Blog
Awarded Top 30 Critical Care Blog
Asean Citation Index
Asean Citation Index