Incidental Discovery of von Meyenburg Complexes: A Case Report on Biliary Microhamartoma

Abstract

Biliary hamartoma or von Meyenburg complex (VMCs) is a rare benign congenital malformation of the biliary duct [1]. It is often seen incidentally on imagery or surgery as multiple small subcapsular nodules scattered throughout the liver [2] or uncovered by autopsy. Detecting by imaging modalities is thought to be uneasy because of their asymptomatic nature and small size [3].

Although VMCs are rare, they are easily confused with metastatic diseases of the liver on imaging [4]. Biliary hamartomas do pose a minor risk of malignant transition to intrahepatic cholangiocarcinoma or, less commonly, hepatocellular carcinomas [5]. Because of its rarity and diverse clinical presentation, management of this condition can be challenging [6,7].