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

Author(s): Denis Qirinxhi, Ilir Ahmetgjekaj, Blerina Saraci, Kaltrina Gocaj, Hafsa Safer Mian, Fjolla Hyseni, Juilda Kollici, Alecya Anyim, Elsie Tachie Mensah, Henri Fero, Wern Lynn Ng, Grace Lin, Keti Mamillo, Ibrahim Gowaly Juna Musa

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].