Sarcoidosis is an uncommon disorder characterized by a multi-systemic
granulomatous disease of undetermined etiology and pathogenesis.(1) Th
e diagnosis is established by the presence of a compatible clinical il
lness and by histologic demonstration of noncaseating epithelioid cell
granulomas in the affected organs. Accurate diagnosis requires a thor
ough evaluation to exclude infectious and neoplastic diseases that can
mimic sarcoidosis. Although all organs and systems can be affected, t
he lungs and intrathoracic lymph glands are the most common sites of i
nvolvement.(2) We describe an unusual case of extrapulmonary sarcoidos
is presenting as obstructive jaundice.