Objective: To report the case of a patient with bleeding oesophageal varices due to portal hypertension complicating hepatic sarcoidosis.
Patient: A 43-year-old man.
Methods: Six subsequent bleeds over 12 years were treated with sclerotherapy.
Results: Following sclerotherapy the patient has remained asymptomatic.
Conclusion: Portal hypertension due to sarcoid liver disease can have a favourable prognosis and early referral for port-systemic shunting may be inadvisable.