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Biliary Hamartoma.

Barboi OB, Moisii LG, Albu-Soda A, Ciortescu I, Drug V - Clujul Med (2013)

Bottom Line: Patients are usually asymptomatic.Hepatic lesions are incidentally discovered on ultrasonography (US) and subsequent radiological methods are necessary for confirmation.A correct diagnosis is established when typical imaging findings are present, otherwise histological confirmation might be needed.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, "s Spiridon" Hospital Iasi, Romania ; University of Medicine And Pharmacy "Gr. T. Popa" Iasi, Romania.

ABSTRACT
Biliary hamartoma or von Mayenburg complex (VMCs) is a rare benign congenital malformation of the biliary duct. Patients are usually asymptomatic. Hepatic lesions are incidentally discovered on ultrasonography (US) and subsequent radiological methods are necessary for confirmation. A correct diagnosis is established when typical imaging findings are present, otherwise histological confirmation might be needed.

No MeSH data available.


Related in: MedlinePlus

MRI scan. T2 hypersignal cystic lesion.
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f3-cm-86-383: MRI scan. T2 hypersignal cystic lesion.

Mentions: A 71-year old Caucasian male with dilative cardiomiopathy and irrelevant family history was admitted to our hospital for the evaluation of a suspected liver disease. The physical examination was within the normal limits, except for hepatomegaly. Laboratory findings revealed a slight anemia (hemoglobin level of 12,5 g/dl, hematocrit of 38%, red blood cells count of 3,9 mil/mm3). White blood cells count was 8730/mm3 and platelet count was 258000/mm3. Biochemical test showed normal serum levels of alanine aminotransferase (ALT=20 IU/L), aspartate aminotransferase (AST=15 IU/L) and alkaline phosphatase (ALP=120 IU/L) and elevated gammagluta - myltranspeptidase (GGT=230 IU/L). Alpha-fetoprotein and carcinoembryonic antigen were within normal limits. Ultrasound showed multiple small hypo- and hyperechoic lesion foci, some cystic lesions with comet-tail echoes, the biggest cyst measured 8 mm in the VIIth segment (Fig. 1). CT scan revealed multiple small cystic lesions; the largest hypodense nodule was in the VIIth hepatic segment with no peripheral or central enhancement (Fig. 2). The CT examination was not conclusive and a MRI with MRCP was performed next. Multiple small cystic lesions were detected with T1 hyposignal and T2 hypersignal, the largest being in segment VII (Fig. 3). Corroborating data from these imaging techniques with 6 month follow up, the final diagnosis was biliary hamartoma (complex von Meyenburg).


Biliary Hamartoma.

Barboi OB, Moisii LG, Albu-Soda A, Ciortescu I, Drug V - Clujul Med (2013)

MRI scan. T2 hypersignal cystic lesion.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4462460&req=5

f3-cm-86-383: MRI scan. T2 hypersignal cystic lesion.
Mentions: A 71-year old Caucasian male with dilative cardiomiopathy and irrelevant family history was admitted to our hospital for the evaluation of a suspected liver disease. The physical examination was within the normal limits, except for hepatomegaly. Laboratory findings revealed a slight anemia (hemoglobin level of 12,5 g/dl, hematocrit of 38%, red blood cells count of 3,9 mil/mm3). White blood cells count was 8730/mm3 and platelet count was 258000/mm3. Biochemical test showed normal serum levels of alanine aminotransferase (ALT=20 IU/L), aspartate aminotransferase (AST=15 IU/L) and alkaline phosphatase (ALP=120 IU/L) and elevated gammagluta - myltranspeptidase (GGT=230 IU/L). Alpha-fetoprotein and carcinoembryonic antigen were within normal limits. Ultrasound showed multiple small hypo- and hyperechoic lesion foci, some cystic lesions with comet-tail echoes, the biggest cyst measured 8 mm in the VIIth segment (Fig. 1). CT scan revealed multiple small cystic lesions; the largest hypodense nodule was in the VIIth hepatic segment with no peripheral or central enhancement (Fig. 2). The CT examination was not conclusive and a MRI with MRCP was performed next. Multiple small cystic lesions were detected with T1 hyposignal and T2 hypersignal, the largest being in segment VII (Fig. 3). Corroborating data from these imaging techniques with 6 month follow up, the final diagnosis was biliary hamartoma (complex von Meyenburg).

Bottom Line: Patients are usually asymptomatic.Hepatic lesions are incidentally discovered on ultrasonography (US) and subsequent radiological methods are necessary for confirmation.A correct diagnosis is established when typical imaging findings are present, otherwise histological confirmation might be needed.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, "s Spiridon" Hospital Iasi, Romania ; University of Medicine And Pharmacy "Gr. T. Popa" Iasi, Romania.

ABSTRACT
Biliary hamartoma or von Mayenburg complex (VMCs) is a rare benign congenital malformation of the biliary duct. Patients are usually asymptomatic. Hepatic lesions are incidentally discovered on ultrasonography (US) and subsequent radiological methods are necessary for confirmation. A correct diagnosis is established when typical imaging findings are present, otherwise histological confirmation might be needed.

No MeSH data available.


Related in: MedlinePlus