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Contrast-enhanced ultrasonography in hepatosplenic sarcoidosis

MARIJKE STRYCKERS (UGent) , Dirk Voet (UGent) , Dirk Vogelaers (UGent) , Marcel Afschrift (UGent) , Koenraad Verstraete (UGent) and Simon Van Belle (UGent)
(2011) ACTA CLINICA BELGICA. 66(6). p.429-431
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Abstract
We report a case of a 38-year-old woman with atypical pain in the left lower hemi-abdomen. On abdominal B-mode ultrasonography the liver was normal; the spleen showed multiple subcentimetric hypoechoic nodules. A multidetector CT-examination revealed multiple small low-attenuation nodules in the liver and the spleen, suggestive for metastatic disease. Contrast-enhanced ultrasound (CEUS) revealed two hypoechoic nodules in the liver that were visible in the portal phase and disappeared in the late phase. The focal splenic lesions were visible as irregular hypo-enhancing nodules. An MRI examination, including T1, T2 and contrast-enhanced images, could not confirm the exact nature of the lesions. A core biopsy of a splenic nodule yielded non-caseating epithelioid cell granulomas. Different complementary examinations were normal and hepatosplenic sarcoidosis was diagnosed. The pain in the left lower hemi-abdomen was ascribed to irritable bowel syndrome.
Keywords
hepatic focal lesions, contrast-enhanced ultrasonography, splenic focal lesions, sarcoidosis, malignant lesions, LESIONS, DIFFERENTIATION, SONOGRAPHY, ULTRASOUND, BENIGN

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Chicago
STRYCKERS, MARIJKE, Dirk Voet, Dirk Vogelaers, Marcel Afschrift, Koenraad Verstraete, and Simon Van Belle. 2011. “Contrast-enhanced Ultrasonography in Hepatosplenic Sarcoidosis.” Acta Clinica Belgica 66 (6): 429–431.
APA
STRYCKERS, M., Voet, D., Vogelaers, D., Afschrift, M., Verstraete, K., & Van Belle, S. (2011). Contrast-enhanced ultrasonography in hepatosplenic sarcoidosis. ACTA CLINICA BELGICA, 66(6), 429–431.
Vancouver
1.
STRYCKERS M, Voet D, Vogelaers D, Afschrift M, Verstraete K, Van Belle S. Contrast-enhanced ultrasonography in hepatosplenic sarcoidosis. ACTA CLINICA BELGICA. 2011;66(6):429–31.
MLA
STRYCKERS, MARIJKE, Dirk Voet, Dirk Vogelaers, et al. “Contrast-enhanced Ultrasonography in Hepatosplenic Sarcoidosis.” ACTA CLINICA BELGICA 66.6 (2011): 429–431. Print.
@article{1269288,
  abstract     = {We report a case of a 38-year-old woman with atypical pain in the left lower hemi-abdomen. On abdominal B-mode ultrasonography the liver was normal; the spleen showed multiple subcentimetric hypoechoic nodules. A multidetector CT-examination revealed multiple small low-attenuation nodules in the liver and the spleen, suggestive for metastatic disease. Contrast-enhanced ultrasound (CEUS) revealed two hypoechoic nodules in the liver that were visible in the portal phase and disappeared in the late phase. The focal splenic lesions were visible as irregular hypo-enhancing nodules. An MRI examination, including T1, T2 and contrast-enhanced images, could not confirm the exact nature of the lesions. A core biopsy of a splenic nodule yielded non-caseating epithelioid cell granulomas. Different complementary examinations were normal and hepatosplenic sarcoidosis was diagnosed. The pain in the left lower hemi-abdomen was ascribed to irritable bowel syndrome.},
  author       = {STRYCKERS, MARIJKE and Voet, Dirk and Vogelaers, Dirk and Afschrift, Marcel and Verstraete, Koenraad and Van Belle, Simon},
  issn         = {0001-5512},
  journal      = {ACTA CLINICA BELGICA},
  keyword      = {hepatic focal lesions,contrast-enhanced ultrasonography,splenic focal lesions,sarcoidosis,malignant lesions,LESIONS,DIFFERENTIATION,SONOGRAPHY,ULTRASOUND,BENIGN},
  language     = {eng},
  number       = {6},
  pages        = {429--431},
  title        = {Contrast-enhanced ultrasonography in hepatosplenic sarcoidosis},
  url          = {http://dx.doi.org/10.2143/ACB.66.6.2062609},
  volume       = {66},
  year         = {2011},
}

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