Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis

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 tomo...

Descripción completa

Detalles Bibliográficos
Autores principales: Gaduputi, Vinaya, Ippili, Rakhee, Sakam, Sailaja, Tariq, Hassan, Niazi, Masooma, Rahnemai-Azar, Amir A, Chilimuri, Sridhar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Libertas Academica 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4405082/
https://www.ncbi.nlm.nih.gov/pubmed/25983567
http://dx.doi.org/10.4137/CGast.S22809
_version_ 1782367598824914944
author Gaduputi, Vinaya
Ippili, Rakhee
Sakam, Sailaja
Tariq, Hassan
Niazi, Masooma
Rahnemai-Azar, Amir A
Chilimuri, Sridhar
author_facet Gaduputi, Vinaya
Ippili, Rakhee
Sakam, Sailaja
Tariq, Hassan
Niazi, Masooma
Rahnemai-Azar, Amir A
Chilimuri, Sridhar
author_sort Gaduputi, Vinaya
collection PubMed
description 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.
format Online
Article
Text
id pubmed-4405082
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Libertas Academica
record_format MEDLINE/PubMed
spelling pubmed-44050822015-05-15 Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis Gaduputi, Vinaya Ippili, Rakhee Sakam, Sailaja Tariq, Hassan Niazi, Masooma Rahnemai-Azar, Amir A Chilimuri, Sridhar Clin Med Insights Gastroenterol Case Report 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. Libertas Academica 2015-04-19 /pmc/articles/PMC4405082/ /pubmed/25983567 http://dx.doi.org/10.4137/CGast.S22809 Text en © 2015 the author(s), publisher and licensee Libertas Academica Limited This is an open-access article distributed under the terms of the Creative Commons CC-BY-NC 3.0 License.
spellingShingle Case Report
Gaduputi, Vinaya
Ippili, Rakhee
Sakam, Sailaja
Tariq, Hassan
Niazi, Masooma
Rahnemai-Azar, Amir A
Chilimuri, Sridhar
Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis
title Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis
title_full Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis
title_fullStr Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis
title_full_unstemmed Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis
title_short Extrahepatic Biliary Obstruction: An Unusual Presentation of Hepatic Sarcoidosis
title_sort extrahepatic biliary obstruction: an unusual presentation of hepatic sarcoidosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4405082/
https://www.ncbi.nlm.nih.gov/pubmed/25983567
http://dx.doi.org/10.4137/CGast.S22809
work_keys_str_mv AT gaduputivinaya extrahepaticbiliaryobstructionanunusualpresentationofhepaticsarcoidosis
AT ippilirakhee extrahepaticbiliaryobstructionanunusualpresentationofhepaticsarcoidosis
AT sakamsailaja extrahepaticbiliaryobstructionanunusualpresentationofhepaticsarcoidosis
AT tariqhassan extrahepaticbiliaryobstructionanunusualpresentationofhepaticsarcoidosis
AT niazimasooma extrahepaticbiliaryobstructionanunusualpresentationofhepaticsarcoidosis
AT rahnemaiazaramira extrahepaticbiliaryobstructionanunusualpresentationofhepaticsarcoidosis
AT chilimurisridhar extrahepaticbiliaryobstructionanunusualpresentationofhepaticsarcoidosis

Ejemplares similares