Science and Education Publishing American Journal of Medical Case Reports 2374-216X 4 2 2016 3 1 Gastric Sarcoidosis: A Difficult to Diagnose Rare Disease 58 61 EN Pramod Theetha Kariyanna Department of Internal Medicine, State University of new York, Downstate Medical Center, United States Apoorva Jayarangaiah Robert Adrah Jason Yi Mujibur Majumder AJMCR2016427 10.12691/ajmcr-4-2-7 2015 11 21 2016 1 2 2016 2 28 Gastrointestinal sarcoidosis is a rare clinical entity. Diagnosis of isolated gastric sarcoidosis is difficult as it is usually asymptomatic; when symptomatic it presents with non-specific symptoms such as abdominal pain, nausea and vomiting. We here present a case of a 32-year-old black lady who presented with non-specific abdominal complaints; a diagnosis gastric sarcoidosis was established following endoscopic biopsy. Here symptoms resolved promptly with steroidal therapy as with most cases. Gastric sarcoidosis should be suspected in sarcoid patients who present with nonspecific abdominal complaints. This case serves as an important clinical reminder of the atypical manifestations of sarcoidosis.