The Klatskin Tumor That Wasn't: An Unusual Presentation of Sarcoidosis
Author(s) -
Priya D. Farooq,
Darryn Potosky
Publication year - 2016
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.2016.114
Subject(s) - medicine , sarcoidosis , presentation (obstetrics) , endoscopic retrograde cholangiopancreatography , klatskin tumor , infiltration (hvac) , dermatology , pathology , radiology , gastroenterology , surgery , pancreatitis , physics , resection , thermodynamics
We present the case of a patient who presented with signs and symptoms associated with a Klatskin tumor. After endoscopic retrograde cholangiopancreatography (ERCP) and biopsy, she was found instead to have granulomatous infiltration of the extrahepatic biliary tree consistent with biliary sarcoidosis. The patient was treated successfully with systemic corticosteroids and azathioprine. She later developed cutaneous, lymphatic, and pulmonary granulomatous disease. Isolated biliary disease is a rare initial presentation of systemic sarcoidosis.
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