Biliary microhamartomas (von Meyenburg complexes), liver metastasis simulators: a series of eight cases

Javier A Teco-Cortes1, Peter Grube-Pagola2, M Esther Gutiérrez-Díaz Ceballos1

  • 1Departamento de Patología, Hospital General de México Dr. Eduardo Liceaga, Ciudad de México.

Cirugia Y Cirujanos
|December 14, 2023
PubMed
Abstract

Insights

Von Meyenburg complexes, rare benign liver lesions, were studied in eight adult cases over ten years. One case showed association with gastric carcinoma, highlighting the need for accurate diagnosis to avoid misinterpretation as metastasis.

Area of Science:

  • Hepatobiliary Medicine
  • Gastrointestinal Pathology
  • Oncology

Background:

  • Von Meyenburg complexes are rare, benign hamartomatous lesions.
  • They represent a spectrum of ductal plate malformations.
  • Prevalence ranges from 0.35-5.6% in the general population, primarily affecting adults.

Purpose of the Study:

  • To describe the clinical features of Von Meyenburg complexes in a specific regional cohort.
  • To enhance understanding of this rare liver entity.

Main Methods:

  • Retrospective analysis of diagnosed Von Meyenburg complex cases.
  • Data collected from institutional records between 2012 and 2022.

Main Results:

  • Eight cases of Von Meyenburg complexes were identified.
  • The average patient age was 59.25 years, with a female predominance.
  • One case was associated with concurrent gastric carcinoma.

Conclusions:

  • Accurate recognition of Von Meyenburg complexes is crucial.
  • Their multifocal nature can mimic metastatic disease.
  • The presence of Von Meyenburg complexes does not exclude synchronous neoplasms.

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