Sarcoidosis of the pancreas.

A case of painful granulomatous infiltration of the pancreas occurred in a patient with well-documented sarcoidosis. In the few previous reports of symptomatic granulomatous pancreatitis, none occurred in a clear setting of sarcoidosis. Granulomatous pancreatitis alone has not been reported to cause exocrine or endocrine dysfunction and appears to improve with steroid therapy. Although distinctly rare, granulomatous involvement of the pancreas should be considered in the examination of patients with sarcoidosis and abdominal pain of unclear cause.