Sarcoidosis Presenting as a Right Paraesophageal Mass Abutting the Left Atrium

We herein report a unique case of sarcoidosis in a 44-year-old Caucasian female. The patient was initially evaluated for hematochezia and diagnosed with diverticulitis after computed tomography (CT) scan of the abdomen and pelvis. This imaging also incidentally showed a large mass abutting the esoph...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 11; no. 8
Main Authors Exposito, Julien, Mammino, Jason R, O'Toole, Timothy J, Haq, Furqan, Awad, Said
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 16.08.2019
Cureus
Subjects
Abdomen
African Americans
Cardiac function
Cardiac/Thoracic/Vascular Surgery
Cardiology
Case reports
Dyspnea
Females
Heart failure
Internal Medicine
Lymphatic system
Lymphoma
Medicine
Pain
Proteins
Sarcoidosis
Ultrasonic imaging
United States > US
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Summary:We herein report a unique case of sarcoidosis in a 44-year-old Caucasian female. The patient was initially evaluated for hematochezia and diagnosed with diverticulitis after computed tomography (CT) scan of the abdomen and pelvis. This imaging also incidentally showed a large mass abutting the esophagus. Further imaging of the mass revealed widespread lymphadenopathy in the thorax without any respiratory or classic B symptoms present. The remaining workup caused concern for possible lung or hematologic malignancy. Following biopsy of a thoracic lymph node, the patient was diagnosed with sarcoidosis. This patient met only one of the usual demographic criteria associated with sarcoidosis and none of the lab criteria. While sarcoidosis is typically a benign disease, this case exemplifies how it may appear as a more sinister entity and warrants extensive workup to rule out malignancy.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.5403