Von Meyenburg’s complexes: the need for timely diagnosis
DOI:
https://doi.org/10.18203/2349-2902.isj20151103Keywords:
Liver, Hamartomas and computed tomographyAbstract
Von Meyenburg’s complexes are rare benign findings in the liver. But recent evidence suggests the incidence of carcinoma in a few percent of cases. Here, we present a case with ultrasound and computed tomography imaging findings of Von Meyenburg Complexes and necessitate the importance of follow-up investigations. Case presentation of a 48 year old lady presenting with vague abdominal pain. Lab investigations were done and she was further imaged with ultrasound with GE Voluson 730 and contrast enhanced computed tomography with 64 slice GE VCT both of which are presented in the report. A diagnosis of Von Meyenburg’s complexes was given in accordance with USG and CT findings. The need for prompt diagnosis and follow-up is necessary since there has been recent evidence stating the association of biliary hamartomas and cholangiocarcinomas. In this setting, it is prudent the clinician be aware of this simple, yet rare entity.
References
Sinokos E, Papalavrentios L, Chourmouzi D, Dimopoulou D, Drevelegas A, Akriviadis E. Clinical presentation of von Meyenburg complexes. Hippokratia. 2011;15(2):170-3.
Yoshida S, Kurokohchi K, Ueno T, Yoshino M, Shimada M, Masaki T. Hepatic Von Meyenburg complex: a trigger of severe portal hypertension. Liver Int. 2009;29(4):614-5.
Fritz S, Hackert T, Blaker H, Hartwig W, Schneider L, Buchler MW, et al. Multiple Von Meyenburg complexes mimicking diffuse liver metastases from esophageal squamous cell carcinoma. World J Gastroenterol. 2006;12(26):250-2.
L. Aguilar Sanchez, E. Carmona Gonzalez, R. J. Megales Navarro, E. Pérez Cuenca. Multiple biliary hamartomas (Von Meyenber complexes): imaging findings and clues for differential diagnosis. EPOS. Congress-ECR-2013;Poster No.:C-009:1-15.
M. C. Bailador Andres, S. Vivas Alegri, R. Rueda Castanon. Multiple bile-duct hamartomas (Von Meyenburg complexes). Rev Esp Enfirm Dig. 2006;98(4):306-7.
Luiz Fernando Vitule, Flavia Mitsuse Siniuomato, Milena Louriero de Melo, Rafael Yoshitake. Von Meyenburg complex: case report and literature review. Radiol Bras. 2010;43(6):408-10.
Anderson SW, Kruskal JB, Kane RA. Benign hepatic tumours and iatrogenic pseudotumours. Radiographics. 2009;29(1):211-29.