Euroasian Journal of Hepato-Gastroenterology

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VOLUME 5 , ISSUE 2 ( July-December, 2015 ) > List of Articles

CASE REPORT

A Rare Variant of Pancreatic Sarcoidosis: Diagnostic Challenge

Taran Khangura, Gias Uddin, Albert Davies, John Keating

Citation Information : Khangura T, Uddin G, Davies A, Keating J. A Rare Variant of Pancreatic Sarcoidosis: Diagnostic Challenge. Euroasian J Hepatogastroenterol 2015; 5 (2):118-121.

DOI: 10.5005/jp-journals-10018-1149

License: CC BY-NC 4.0

Published Online: 01-07-2015


Abstract

Pancreatic sarcoidosis is one of the variant of systemic sarcoidosis which is extremely rare in literature and opined as an enigma. Hence, its diagnosis is very challenging as its presentation mimics pancreatic carcinoma. In view of a better understanding, we are presenting a case of pancreatic sarcoidosis to emphasize the above. To clearly distinguish sarcoidosis from malignancy, repeated computed tomography scans, Positron emission tomography scans, fine needle aspiration cytology, endoscopic retrograde cholangio-pancreatography supplemented with histology and relevant blood tests proved it to be a pancreatic sarcoidosis then a malignancy. Over the course, concrete evidence was divulged from lymph node biopsy and histology in clinching the diagnosis which later transformed into a malignancy. Therefore, we concluded it is a rare variant of pancreatic sarcoidosis and careful serial investigations include repeated imaging, histology and blood tests are essential to establish and most importantly differentiate the diagnosis.


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