Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Gastrointestinal Medicine
Volume 2017 (2017), Article ID 1620392, 3 pages
https://doi.org/10.1155/2017/1620392
Case Report

Granulomatous Pancreas: A Case Report of Pancreatic Sarcoid

1Saba University School of Medicine, 27 Jackson Road, Suite 301, Devens, MA 01434, USA
2Ross University School of Medicine, 2300 SW 145th Ave., Suite 200, Miramar, FL 33027, USA
3Brookdale University Hospital and Medical Center, 1 Brookdale Plaza, Brooklyn, NY 11212, USA

Correspondence should be addressed to Tatiana Bihun

Received 11 July 2017; Revised 26 October 2017; Accepted 1 November 2017; Published 4 December 2017

Academic Editor: Hideto Kawaratani

Copyright © 2017 Tatiana Bihun et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Sarcoidosis is a chronic, systemic, noncaseating granulomatous disease process of unknown etiology. Sarcoidosis most commonly manifests in the lungs; however, gastrointestinal manifestations can occur. If in the GI tract, it is almost always found in the liver. Solitary pancreatic lesions are extremely rare, with less than 50 documented cases found in the literature. We present a case of a 61-year-old female, with a past medical history of sarcoidosis, who presented to the ER with unexpected weight loss, scleral icterus, right upper quadrant pain, and epigastric and back pain. US and MRI found a dilated common bile duct and mild dilation of the pancreatic duct, as well as a focal prominence in the head of the pancreas surrounded by areas of atrophy. A pancreaticoduodenectomy procedure was performed and fresh frozen sections were taken. The pathologist made a diagnosis of nonnecrotizing granulomatous pancreatitis. Pancreatic sarcoid is often asymptomatic and a benign finding on autopsy; however, clinicians should be mindful of pancreatic involvement when working up differential diagnosis for pancreatic masses.