An Incidental Case of Sarcoidosis in a Young Male Patient Presenting With Symptomatic Chronic Cholecystitis

Sarcoidosis is a multisystem disease process with a bimodal distribution typically affecting African American women and those of Scandinavian descent characterized by noncaseating granulomatous disease. We present a case of a 29-year-old African American male patient who was seen in the clinic for recurrent symptomatic cholelithiasis. He had no past medical history or symptoms besides intermittent postprandial right upper quadrant (RUQ) pain with imaging confirming cholelithiasis. He was taken for elective robotic cholecystectomy, and an intraoperative liver biopsy was performed due to incidentally found widespread miliary liver lesions and an enlarged pericystic lymph node. The pathology from the intraoperative sample showed noncaseating granulomas consistent with sarcoidosis, a rare presentation in both the liver and pericystic lymph node.