A Clinical Case of an Extrapulmonary Form of Generalized Sarcoidosis in the Surgical Practice

Abstract

The aim of the study was to present a clinical case of generalized sarcoidosis without involvement of the lungs and intrathoracic lymph nodes.Materials and methods. The literature and data of clinical observation, surgical treatment and results of autopsy of a patient with generalized sarcoidosis were analyzed.Results. In this study, the authors draw attention to the case of generalized sarcoidosis without lesions of the lungs and intrathoracic lymph nodes, accounting for 5% in the structure of morbidity. A clinical case of patient A., who was hospitalized in the surgical department of the Emergency Hospital, is presented. The patient was admitted with suspicion of urgent surgical pathology with extrapulmonary manifestations of the disease (polyserositis) and granulomatous lesions of the parietal and visceral peritoneum, extrapulmonary pleura typical of sarcoidosis, and peritonitis, progression and development of a rare clinical form of the disease, neurosarcoidosis, which amounts to as much as 10 % of all cases of this disease.Conclusions. The clinical case demonstrates specificity of this multisystemic disease and the need for a multidisciplinary approach to treatment and diagnosis, which may be challenging due to the absence of typical manifestations of this pathology, as in the presented clinical case. The authors share their experience to help medical professionals avoid diagnostic and tactical errors in the management of such patients, since they encountered a truly untypical and rare manifestation and complication of sarcoidosis in a patient, who was admitted not in a specialized therapeutic or pulmonological department, but in surgical department of a multidisciplinary hospital.