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Clinical Medicine Insights: Gastroenterology

Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis

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Clinical Medicine Insights: Gastroenterology 2015:8 19-22

Case report

Published on 19 Apr 2015

DOI: 10.4137/CGast.S22809


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Abstract

We report this case of a 63-year-old woman who presented with progressive illness characterized by abdominal pain, weight loss, anorexia, generalized weakness, and fatigue. The patient was found to have obstructive jaundice with multiple mass lesions in the liver, spleen, and kidney on computed tomography scan of abdomen. She developed cholangitis, necessitating an emergent endoscopic retrograde cholangiopancreatography with biliary stenting and decompression. Later, she was found to have hepatic sarcoidosis on wedge biopsy of the liver. Extrinsic compression of biliary tree from mass effect of sarcoid granulomas with superimposed biliary sepsis is rare.



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