Extrahepatic biliary obstruction: An unusual presentation of hepatic sarcoidosis

Vinaya Gaduputi, Rakhee Ippili, Sailaja Sakam, Hassan Tariq, Masooma Niazi, Amir A. Rahnemai-Azar, Sridhar Chilimuri

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

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.

Original languageEnglish
Pages (from-to)19-22
Number of pages4
JournalClinical Medicine Insights: Gastroenterology
Volume8
DOIs
StatePublished - 2015
Externally publishedYes

Keywords

  • Cholangitis in sarcoidosis
  • Hepatic granulomas
  • Hepatic sarcoidosis
  • Jaundice in sarcoidosis
  • Sarcoidosis of liver

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