Extrahepatic biliary obstruction: an unusual presentation of hepatic sarcoidosis.

Clinical Medicine Insights. Gastroenterology Pub Date : 2015-04-19 eCollection Date: 2015-01-01 DOI:10.4137/CGast.S22809
Vinaya Gaduputi, Rakhee Ippili, Sailaja Sakam, Hassan Tariq, Masooma Niazi, Amir A Rahnemai-Azar, Sridhar Chilimuri
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引用次数: 9

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.

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肝外胆道梗阻:肝结节病的一种不寻常表现。
我们报告一位63岁的女性,她以腹痛、体重减轻、厌食症、全身无力和疲劳为特征,表现为进行性疾病。患者腹部计算机断层扫描发现梗阻性黄疸伴肝、脾、肾多发肿块病变。她发展为胆管炎,需要紧急内镜逆行胆管造影并胆道支架置入和减压。后来,她在肝楔形活检中发现肝结节病。结节性肉芽肿的肿块效应对胆道树的外在压迫合并胆道败血症是罕见的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Medicine Insights. Gastroenterology
Clinical Medicine Insights. Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
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8 weeks
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