Abstract
Sarcoidois is a systemic granulomatous disease of unknown etiology and is very rare to have a lesion in the stomach. We report a case of gastric sarcoidosis where the peritoneoscopic examination is a good help in diagnosing this case. This case is a 49 year-old female, who experienced sweating and hunger time epigastralgia in Jul, of 1984. Upper G. I. series and endoscopy disclosed a few submucosal tumor -like elevated lesions in the stomach. The biopsy under endoscopy showed granuloma formation and tuberculosis or sarcoidosis was suspected. Peroral INH 0.3 g per day was started from May and the lesions remained, although they had a tendency of reduction. She was admitted for the further examination to diagnose her gastric disease. Peritoneoscopic examination demonstrated a few white nodules of 0.5-1.0 cm in diameter on the surface of the left lobe of the liver and no adhesions. Biopsy disclosed granuloma formation without caseating necrosis and it was consistent with sarcoidosis. So, the gastric lesions were again diagnosed as sarcoidosis. We see about 50 cases of gastric sarcoidosis reported till now to our knowledge. A submucosal tumor-like lesion like, this case is very rarely seen. The peritoneoscopic examination was a good tool in diagnosing this case giving us a good clinical suggestion, so we report this case here with a bibliographic discussion.
