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Benign Finding or Malignancy: von Meyenburg Complexes Found during Laparoscopic Cholecystectomy.
Daniel Carrera1, Jordan Rook1, Darryl T Hiyama1
1Department of Surgery, University of California Los Angeles, Los Angeles, CA.
CRSLS : MIS Case Reports From SLS
|January 30, 2023
Summary
Von Meyenburg complexes, benign liver hamartomas, are often found incidentally. Awareness of these white hepatic nodules aids surgeons in distinguishing them from malignancy during operations.
Area of Science:
- Hepatology
- Surgical Pathology
Background:
- Von Meyenburg complexes are benign bile duct hamartomas.
- They often present as asymptomatic cystic liver nodules, incidentally found on imaging or autopsy.
Observation:
- A case of a 36-year-old female incidentally found with white hepatic nodules during laparoscopic cholecystectomy.
- Pathologic analysis confirmed these nodules as Von Meyenburg complexes.
Findings:
- Von Meyenburg complexes can mimic malignant liver lesions intraoperatively.
- Recognition of their gross appearance is crucial for accurate intraoperative assessment.
Implications:
- Increased awareness of Von Meyenburg complexes can prevent misdiagnosis of malignancy.
- This knowledge can guide surgeons' intraoperative decision-making, avoiding unnecessary procedures.
