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.
Keyphrases
- computed tomography
- weight loss
- abdominal pain
- ultrasound guided
- multiple sclerosis
- intensive care unit
- positron emission tomography
- bariatric surgery
- minimally invasive
- case report
- acute kidney injury
- type diabetes
- body mass index
- coronary artery disease
- magnetic resonance
- adipose tissue
- acute coronary syndrome
- dual energy
- endoscopic submucosal dissection