The incidence of undiagnosed cardiac sarcoidosis in explanted hearts following heart transplantation

Dieulafoy lesion of the gallbladder

“…This triad of upper abdominal pain, jaundice and unknown site of upper gastrointestinal bleed, known as Quincke's triad, is strongly suggestive of haemobilia, and a cholecystectomy was performed. 1 Macroscopic examination showed a haemorrhagic and acutely inflamed gallbladder. The histological findings demonstrated multi-focal mucosal ulceration with a tortuous medium-sized calibre artery at the base of one of the ulcers, confirming the clinical suspicion of a Dieulafoy lesion.…”

“…References Sarcoidosis is a rare granulomatous disease, with the incidence in Australia estimated to be 0.004-0.006%. 1 A database search of all Pathwest records for the past 20 years yielded only one case of cardiac sarcoidosis. Cardiac sarcoidosis carries a poor prognosis, with a significant proportion developing end-stage cardiac failure, for which heart transplantation is a viable treatment modality.…”

“…To date, only 56 cases have been reported in the English literature. 1,2,3 These tumours can be categorised into mucinous cystadenomas, mucinous borderline tumours/tumours of low malignant potential and mucinous carcinomas. 4 Primary retroperitoneal mucinous cystadenoma (PRMC) accounts for 31 of the reported cases, with the overwhelming majority of cases occurring in females.…”