Massive edema of the ovary diagnosed with laparoscopic biopsy and frozen section.

The presence of bilateral large effusions in sarcoidosis is unu­ sual. The reported prevalence of pleural involvement in sar­ coidosis varies from 0 to 5% [1] with unilateral, small effusions usually. Clinically significant bilateral effusions in sarcoidosis are rare. There are few other reports of sarcoidosis presenting with bilateral pleural effusions but the quantity of fluid was small and clinically insignificant. The growth of one colony of Mycobacterium tuberculosis on culture from the lesion in our patient reiterate the possibility that mycobacteria or some of its components may be capable of inducing the immune response and the pathological changes of sarcoidosis.