ABSTRACT
A 48-year-old woman underwent surgery for a lesion seen on ultrasound and interpreted
as a uterine myoma. The surgery revealed multiple nodules that had seeded on the omentum,
peritoneum, and ovaries. The macroscopic interpretation was either metastasis or tuberculosis.
The biopsy showed noncaseating granulomas, and a diagnosis of peritoneal sarcoidosis
was reported. The AFB (acid fast bacillus) and Löwenstein-Jensen culture were negative.
She was treated with methylprednisolone for 1 year for pulmonary sarcoidosis progression,
with a resulting decrease in her DLCO (diffusing lung capacity for carbon monoxide).
Computed tomography showed only a slight decrease in the multiple nodules and cysts.
She is currently symptom-free.
KEYWORD
Extrathoracic sarcoidosis - peritoneal sarcoidosis - peritoneal cysts - peritoneal
sarcoidosis versus peritoneal tuberculosis