International Journal of
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Opinion Volume 1 Issue 2
Von meyenburg complex
Renan Ibrahem Adam,
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Heather Harris
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Radiology Department, Nottingham University Hospitals, UK
Correspondence: Renan Ibrahem Adam, Radiology Department, Nottingham University Hospitals, Nottingham, NG7 2UH, United Kingdom, Tel 0044(0)7931550973
Received: October 24, 2016 | Published: December 19, 2016
Citation: Adam RI, Harris H. Von meyenburg complex. Int J Radiol Radiat Ther. 2016;1(2):31. DOI: 10.15406/ijrrt.2016.01.00007
Keywords
hepatic, abnormality, ct, infection, meyenburg complex, hamartomas
Abbreviations
CT, computed tomography; ADPKD, autosomal dominant polycystic kidney disease; MBH, multiple biliary hamartomas
Opinion
A 63years old female noted to have non-specific hepatic abnormality in a follow up chest CT for infection. The subsequent MRCP demonstrated numerous cystic lesions throughout the liver which showed no communication with the biliary tree (Figure 1). Diagnosis of Von Meyenburg Complex has been made. No further management or investigation is required.
Figure 1 Diagnosis of von meyenburg complex.
Von Meyenburg Complex is a rare cause of multiple hepatic lesions, also known as multiple biliary hamartomas (MBH). It is named after pathologist called Hans von Meyenburg who was born in Dresden in 1887 and first described the pathology of multiple biliary hamartomas in 1918.1
MBH is asymptomatic condition and usually found incidentally at autopsy or on imaging with prevalence <1%. It is three times more common in women.2
The biliary hamartomas are consistent of small clusters of dilated cystic bile ducts which are not communicating with the biliary tree. On imaging, they appear as multiple small round or irregular lesions throughout the liver with peripheral predominance. No enhancement in the post contrast images.3 The radiological differential diagnoses include multiple liver cysts and hepatic metastases.
Autosomal dominant polycystic kidney disease (ADPKD) and polycystic liver disease are known associations with this condition.
Acknowledgements
None.
Conflict of interest
Author declares that there is no conflict of interest.
References
- Über DZ. Beiträge zur pathologischen Anatomie und zur allgemeinen Pathologie. Jena. 1918;64:477‒532.
- Tohmé noun C, Cazals D, Noun R, et al. Multiple biliary hamartomas: magnetic resonance features with histopathologic correlation. Eur Radiol. 2008;18(3):493‒499.
- Zheng RQ, Zhang B, Kudo M, et al. Imaging findings of biliary hamartomas. World J Gastroenterol. 2005;11(40):6354‒6359.
©2016 Adam, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.