Hepatic Sarcoidosis Complicated with Pancreatic Adenocarcinoma

Authors

Kamesh Gupta MD, Baystate HealthFollow
Tuyyab Hassan MD, Baystate HealthFollow
Shahid Rizwan MD, Baystate HealthFollow
Rahul Jawale, Baystate HealthFollow
David Desilets MD, Baystate HealthFollow

Author Department

Internal Medicine; Gastroenterology; Medicine; Pathology

Document Type

Article, Peer-reviewed

Publication Date

11-2019

Abstract

Sarcoidosis is a systemic noncaseous granulomatous disease. The liver is a common location but usually asymptomatic. Current literature suggests an association between sarcoidosis and cancers. However, there is a lack of definite evidence. We present a case of a 59-year-old man with jaundice and acutely elevated alkaline phosphatase. The diagnosis was confirmed by obtaining a liver biopsy and was treated with 6 months of steroids. A year later, he had a recurrence of jaundice. MRCP showed biliary dilatation and a mass in the pancreatic head, confirmed by biopsy to be adenocarcinoma. This is the first case to be reported of hepatic sarcoidosis associated with pancreatic cancer.

Recommended Citation

Gupta K, Hassan T, Rizwan S, Hans B, Jawale R, Desilets D. Hepatic Sarcoidosis Complicated with Pancreatic Adenocarcinoma. Case Reports Hepatol. 2019 Nov .

PMID

31827951