Multiple biliary hamartomas (von-Meyenburg complexes)

Case contributed by Dr Philippe Goldstein

Presentation

Asymptomatic patient. Only the bilirubin was elevated. CT performed following findings on ultrasound.

Patient Data

Age: 50
Gender: Male

Multiple peripheral small liver cysts, some with internal septae, not connected with biliary tract. 

Case Discussion

Appearances are consistent with multiple biliary hamartomas (Von Meyenburg complexes). MRCP is important to differentiate from other biliary disorders (Caroli's disease) to prove or disprove communication with the biliary tree.

Multiple biliary hamartomas (Von Meyenburg complexes) do not communicate with the biliary tree on MRCP or ERCP. Hepatic cysts are usually solitary, may be multiple in ADPLD with usually multiple cysts kidneys and other organs. The hepatic cysts appear anaechoic on ultrasonography. Caroli's disease show multiple cysts communicating with the biliary tree with "central dot" sign on CECT representing enhancing tiny dots (portal radicles) within dilated cystic intrahepatic ducts. 

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Case information

rID: 25246
Case created: 14th Oct 2013
Last edited: 14th Jan 2016
Inclusion in quiz mode: Included

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