title: Extrahepatic biliary obstruction: an unusual presentation of hepatic sarcoidosis.
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.
authors.affiliation: Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY, USA.
authors.forename: Vinaya
authors.initials: V
authors.lastname: Gaduputi
authors.affiliation: Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY, USA.
authors.forename: Rakhee
authors.initials: R
authors.lastname: Ippili
authors.affiliation: Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY, USA.
authors.forename: Sailaja
authors.initials: S
authors.lastname: Sakam
authors.affiliation: Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY, USA.
authors.forename: Hassan
authors.initials: H
authors.lastname: Tariq
authors.affiliation: Department of Pathology, Bronx Lebanon Hospital Center, Bronx, NY, USA.
authors.forename: Masooma
authors.initials: M
authors.lastname: Niazi
authors.affiliation: Department of Surgery, Bronx Lebanon Hospital Center, Bronx, NY, USA.
authors.forename: Amir A
authors.initials: AA
authors.lastname: Rahnemai-Azar
authors.affiliation: Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY, USA.
authors.forename: Sridhar
authors.initials: S
authors.lastname: Chilimuri
keywords: cholangitis in sarcoidosis; hepatic granulomas; hepatic sarcoidosis; jaundice in sarcoidosis; sarcoidosis of liver