Sarcoidosis associated obstructive jaundice

Case contributed by Dr Chris O'Donnell

Presentation

Past history of sarcoidosis. Now jaundice, weight loss and low grade fever. CT showed mass of lymph nodes in root of small bowel mesentery and ultrasound demonstrated dilated intra-hepatic ducts. MRCP for clarification.

Patient Data

Age: 40
Gender: Male

Hilar mass lesion causing gross stricturing of the right and left hepatic ducts - looks like a Klatskin cholangiogarcinoma (Bismuth type IV).  Key to the case is the past history of sarcoidosis and finding of abnromal lymph nodes around the aorta and in the small bowel mesentery.

Case Discussion

Don't ever forget sarcoidosis in the differential diagnoisis of any mass - it is the great mimicker and can be treated!
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Case information

rID: 19999
Case created: 28th Oct 2012
Last edited: 8th Feb 2016
Inclusion in quiz mode: Included

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