摘要
The aim of this study was to report a case of multi-visceral sarcoidosis at the Mother-Child Hospital Center (CHME) “Le Luxembourg” in Bamako, Mali. Observation: This is a patient aged 62 at the time of consultation, a housewife, residing in the Banconi district, who was referred to us for thoracic-abdominopelvic imaging for chronic liver disease. After several diagnostic errors, the thoracic-abdominopelvic CT scan and liver MRI performed in our center showed, at the thoracoabdominal level, bilateral diffuse pulmonary micronodules and bilateral mediastinal-hilar lymphadenopathy;on the abdominal level, a dysmorphic liver with plaques of steatosis and a granular appearance of the liver parenchyma without periportal fibrosis. These imaging data combined with those from the liver nodule biopsy and biology confirmed the diagnosis of sarcoidosis type II. Treatment with corticosteroids gave satisfactory results and the patient recovered after 18 months. Clinical and CT monitoring 2 years from the start of the disease and 2 months from the end of treatment showed complete resolution of the lesions. Conclusion: The multi-visceral location of sarcoidosis is an entity whose diagnosis remains difficult;diagnostic and interventional imaging has an important place in its management.
The aim of this study was to report a case of multi-visceral sarcoidosis at the Mother-Child Hospital Center (CHME) “Le Luxembourg” in Bamako, Mali. Observation: This is a patient aged 62 at the time of consultation, a housewife, residing in the Banconi district, who was referred to us for thoracic-abdominopelvic imaging for chronic liver disease. After several diagnostic errors, the thoracic-abdominopelvic CT scan and liver MRI performed in our center showed, at the thoracoabdominal level, bilateral diffuse pulmonary micronodules and bilateral mediastinal-hilar lymphadenopathy;on the abdominal level, a dysmorphic liver with plaques of steatosis and a granular appearance of the liver parenchyma without periportal fibrosis. These imaging data combined with those from the liver nodule biopsy and biology confirmed the diagnosis of sarcoidosis type II. Treatment with corticosteroids gave satisfactory results and the patient recovered after 18 months. Clinical and CT monitoring 2 years from the start of the disease and 2 months from the end of treatment showed complete resolution of the lesions. Conclusion: The multi-visceral location of sarcoidosis is an entity whose diagnosis remains difficult;diagnostic and interventional imaging has an important place in its management.
作者
Mariko Mahamane
Camara Mamoudou
Keita Aboubacar Sidiki
N’Diaye Mahamadou
Camara Mody Abdoulaye
Fofana Youssouf
Traoré Mohamed Maba
Sidibé Siaka
Sanogo Souleymane
Keita Adama Diaman
Mariko Mahamane;Camara Mamoudou;Keita Aboubacar Sidiki;N’Diaye Mahamadou;Camara Mody Abdoulaye;Fofana Youssouf;Traoré Mohamed Maba;Sidibé Siaka;Sanogo Souleymane;Keita Adama Diaman(Department of Radiology, Mother and Child Hospital Luxembourg, Bamako, Mali;Medical Imaging, Exploration and Diagnostic Center, Conakry, Guinea;Assistant at the Faculty of Health Sciences and Techniques at the Gamal Abdel Nasser University of Conakry;Department of Radiology, Military Hospital of Bamako, Bamako, Mali;Department of Radiology, Mali Hospital, Bamako, Mali;Department of Radiology, Point G Hospital, Bamako, Mali)
