Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis | Zendy

Vinaya Gaduputi | Zendy; Rakhee Ippili | Zendy; Sailaja Sakam | Zendy; Hassan Tariq | Zendy; Masooma Niazi | Zendy; Amir A. RahnemaiAzar | Zendy; Sridhar Chilimuri | Zendy

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Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis

Author(s) -

Vinaya Gaduputi,

Rakhee Ippili,

Sailaja Sakam,

Hassan Tariq,

Masooma Niazi,

Amir A. RahnemaiAzar,

Sridhar Chilimuri

Publication year - 2015

Publication title -

clinical medicine insights gastroenterology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.373

H-Index - 11

ISSN - 1179-5522

DOI - 10.4137/cgast.s22809

Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , jaundice , radiology , sarcoidosis , liver biopsy , abdomen , abdominal pain , weakness , presentation (obstetrics) , surgery , biopsy , pancreatitis

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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