Solitary bile duct hamartoma of the liver

Scand J Gastroenterol. 2005 Nov;40(11):1378-81. doi: 10.1080/00365520510023387.

Abstract

Bile duct hamartomas, also known as von Meyenburg complexes, are benign liver malformations which usually present as multiple small nodules scattered in both lobes of the liver. We report a unique case of bile duct hamartoma. An asymptomatic 30-year-old man who had a solitary cystic lesion underwent partial hepatectomy. Macroscopically, the lesion, measuring 3.6 cm in diameter, was composed of a number of small grayish-white cysts measuring 0.1 to 1.2 cm in diameter. Histologically, the constituent cysts were embedded in a fibrous stroma and were lined by low columnar or cuboidal epithelium. By immunohistochemistry, the MIB-1 index was below 1%, and p53 and carcinoembryonic antigen (CEA) were negative. These findings lead us to conjecture that the lesion was a bile duct hamartoma, although its solitary nature and large size differed from those of typical bile duct hamartoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bile Ducts, Intrahepatic / pathology*
  • Biopsy, Needle
  • Follow-Up Studies
  • Hamartoma / diagnosis*
  • Hamartoma / surgery
  • Hepatectomy / methods
  • Humans
  • Immunohistochemistry
  • Laparotomy / methods
  • Liver Neoplasms / diagnosis*
  • Liver Neoplasms / surgery
  • Male
  • Neoplasm Staging
  • Risk Assessment
  • Treatment Outcome