Nod�ler Splenik Sarkoidoz: Nadir Bir Olgu

�al�k, Mustafa; Yesildag, Mihrican; �al�k, Saniye G�knil; Bekci, Tahir Taha; Esme, H�d�r

Cilt : 6 Say� : 2 Y�l : 2024

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Nod�ler Splenik Sarkoidoz: Nadir Bir Olgu [Respir Case Rep]

Respir Case Rep. 2017; 6(2): 124-127 | DOI: 10.5505/respircase.2017.59480

Nod�ler Splenik Sarkoidoz: Nadir Bir Olgu

Mustafa �al�k¹, Mihrican Yesildag², Saniye G�knil �al�k³, Tahir Taha Bekci², H�d�r Esme¹
¹Sa�l�k Bilimleri �niversitesi Konya E�itim ve Ara�t�rma Hastanesi,, G��s Cerrahisi Klini�i, Konya, T�rkiye
²Sa�l�k Bilimleri �niversitesi Konya E�itim ve Ara�t�rma Hastanesi,, G��s Hastal�klar� Klini�i, Konya, T�rkiye
³KTO Karatay University Vocational School of Health Services, Konya, Turkey

Sarkoidoz idiyopatik multisistemik gran�lomat�z bir hastal�kt�r. En s�k akci�erleri tutar. Biz nadir ve genellikle asemptomatik karaci�er tutulumu olmayan nod�ler splenik sarkoidozlu bir olguyu sunduk. Otuz bir ya��ndaki erkek hasta; �ks�r�k, balgam ve nefes darl�� ik�yetleriyle klini�imize ba�vurdu. Sarkoidozun yayg�n sistemik bulgular�ndan hi�birine rastlan�lmad�. Toraks ve bat�n BT incelenmesinde �ok say�da hipodens mediastinal lenf nodlar� ve dalak tutulumu vard�. Ba�ka intra-abdominal patoloji veya periferik lenfadenopati saptanmad�. Mediastinoskopi yap�ld�. Tan�s� histopatolojik olarak do�ruland�. T�bbi tedaviden sonra �ik�yetleri azald�. Nod�ler splenik tutulumu nadirdir. Sarkoidozun; multiple karaci�er ve splenik tutulumu olan otuz dokuz olgu rapor edilmesine ra�men, sadece �� izole nod�ler splenik tutulum literat�rde bildirilmi�tir. Nadirli�i nedeniyle ekstrapulmoner sarkoidoz �nemli morbidite ve mortaliteye neden olabilir. Bu nedenle, karaci�er tutulumu olmayan nod�ler splenik sarkoidozun, belirtileri, tan�s� ve klinik seyrine dikkat �ekmek amac�yla bu olguyu sunduk.

Anahtar Kelimeler: Sarkoidoz, dalak, intra-abdominal, dalak tutulumu, nod�ler

Nodular Splenic Sarcoidosis: A Rare Case Report

Mustafa �al�k¹, Mihrican Yesildag², Saniye G�knil �al�k³, Tahir Taha Bekci², H�d�r Esme¹
¹Department of Thoracic Surgery, Health Sciences University, Konya Training and Research Hospital, Konya, Turkey
²Department of Pulmonary Medicine, Health Sciences University, Konya Training and Research Hospital, Konya, Turkey
³KTO Karatay �niversitesi Sa�l�k Hizmetleri Meslek Y�ksekokulu, Konya, T�rkiye.

Sarcoidosis is an idiopathic, multi-systemic, granulomatous disease. It most commonly involves the lungs. Herein, we present a rare and usually asymptomatic case with splenic sarcoidosis without liver involvement. A 31-year-old male patient was admitted to our clinic with cough, sputum, and shortness of breath. He reported no common systemic complaints of sarcoidosis. Thoracic and abdominal computed tomography showed multiple hypodense mediastinal lymph nodes with splenic involvement. No other intra-abdominal pathology or peripheral lymphadenopathy was detected. Mediastinoscopy was performed. Diagnosis was made histopathologically. Following the treatment, his complaints regressed. Nodular splenic involvements are uncommon. Although there have been reported thirty-nine cases of sarcoidosis with multiple nodular hepatic and splenic lesions, only three isolated splenic cases have been reported in the literature to date. Despite its rarity, extra-pulmonary sarcoidosis may cause significant morbidity and mortality. Therefore, we discuss this case to draw attention to splenic sarcoidosis without liver involvement and its manifestations, diagnosis, and clinical course.

Keywords: Sarcoidosis, splen, intra-abdominal, splenic involvement, nodular

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Mustafa �al�k, T�rkiye
Makale Dili: �ngilizce

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