Abstract
Objectives: This study was performed to report a patient with peritoneal sarcoidosis and review the literature for similar cases. Methods: We described the clinical presentation, course, and outcome of thepatient, and reviewed the medical literature from 1966 till 1997 using MEDLINE and the key words sarcoidosis, scar, and peritoneum. Results: Our patient presented with a rapidly growing tumor-like mass at the site of an old appendectomy scar. Laparoscopy showed a large peritoneal mass and multiple small peritoneal nodules that were found to be noncaseating granulomas by pathology. The MEDLINE search uncovered only 16 cases o peritoneal sarcoidosis, most of which presented with ascites. Conclusion: This case illustrates the need to consider sarcoidosis, in addition to infections and neoplasms, in the differential diagnosis of peritoneal nodules and exudative ascites.
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