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Case Reports in Gastrointestinal Medicine
Volume 2017, Article ID 1628215, 4 pages
https://doi.org/10.1155/2017/1628215
Case Report

An Uncommon Cause of a Small-Bowel Obstruction

Department of Internal Medicine, Division of Pulmonology, Providence-Providence Park Hospital, Michigan State University College of Human Medicine, Southfield, MI, USA

Correspondence should be addressed to Ali Zakaria; moc.liamtoh@68airakazila

Received 17 February 2017; Accepted 5 March 2017; Published 12 March 2017

Academic Editor: Shinji Tanaka

Copyright © 2017 Ali Zakaria 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 systemic granulomatous disease of unknown etiology, characterized by the formation of noncaseating granulomas. Gastrointestinal (GI) system involvement that is clinically recognizable occurs in less than 0.9% of patients with sarcoidosis, with data revealing small intestine involvement in 0.03% of the cases. A high index of suspension is required in patients presenting with small-bowel obstruction and previous history of sarcoidosis. Establishing a definitive diagnosis of GI sarcoidosis depends on biopsy evidence of noncaseating granulomas, exclusion of other causes of granulomatous disease, and evidence of sarcoidosis in at least one other organ system. Treatment of GI sarcoidosis depends on symptomatology and disease activity. Herein, we are presenting a case of 67-year-old female patient who had acute small-bowel obstruction at the level of jejunum with postoperative histopathologic evidence of noncaseating granulomatous inflammation with multinucleated giant cells, consistent with sarcoidosis.