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- W2000414150 abstract "View Large Image Figure Viewer View Large Image Figure Viewer View Large Image Figure Viewer More than 80% of patients with sarcoidosis have hepatobiliary involvement, varying from asymptomatic granulomatosis to portal hypertension and severe liver diseases. Jaundice is uncommon, rarely arising from direct involvement of the biliary system. Here we describe the case of a 57-year-old African American man who had jaundice as a result of the isolated involvement of the common hepatic duct by granulomatous inflammation with extension into right intrahepatic duct, mimicking a Klatskin's cholangiocarcinoma. Although all the radiographic imaging study results, including endoscopic retrograde cholangiopancreatography (A), magnetic resonance imaging (B), and endoscopic ultrasonography (C), were consistent with a biliary malignancy without metastatic spread, brushings and fine-needle aspiration had negative results. Given the diagnostic uncertainty and localized nature of the lesion in the absence of any underlying chronic liver disease, surgical resection was performed. Pathologic examination revealed a 3.5-cm noncaseating granulomatous inflammatory mass encasing the common hepatic duct without evidence of malignancy or infection, consistent with sarcoidosis (D, H&E, orig. mag. ×40). View Large Image Figure Viewer View Large Image Figure Viewer" @default.
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- W2000414150 date "2006-07-01" @default.
- W2000414150 modified "2023-10-17" @default.
- W2000414150 title "Hepatobiliary sarcoidosis mimicking Klatskin's cholangiocarcinoma" @default.
- W2000414150 doi "https://doi.org/10.1016/j.gie.2006.01.033" @default.
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