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Revista Cubana de Medicina
On-line version ISSN 1561-302X
Abstract
NODARSE PEREZ, Pablo Orlando; PEREZ MENENDEZ, Roberto and VELBES MARQUETTI, Pedro Evelio. Multiple biliary hamartomatosis. Rev cubana med [online]. 2021, vol.60, n.4 Epub Dec 01, 2021. ISSN 1561-302X.
Introduction:
Multiple biliary hamartomatosis or von Meyenburg complex disease was described by this author in 1955. Its origin is dysembryogenic with a benign and asymptomatic evolutionary course, with normal liver function tests. Imaging studies can confirm the diagnosis, but likewise, when it is a multinodular liver, chronic liver disease can be diagnosed without specifying its etiology, which is why it is essential a histological diagnosis with a directed overlaparoscopic liver biopsy. No specific treatment is needed and its follow-up is semi-annual or annual ultrasound.
Objective:
To present the value of laparoscopically directed liver biopsy for multiple biliary hamartomatosis lesions.
Case report:
A 53-year-old patient with a history of being a social drinker with a weekly frequency is reported. He was admitted for fever associated with urinary sepsis, in which a fortuitous ultrasound finding of a multinodular liver appeared, without requiring an etiological diagnosis by other imaging studies. This led to a laparoscopy with a liver biopsy aimed at the observed lesions. The histological diagnosis of this entity is confirmed.
Conclusions:
The importance and validity of the diagnostic value of laparoscopy, as well as directed liver biopsy to achieve a certain histological diagnosis in this entity, was demonstrated.
Keywords : multiple biliary hamartomatosis; laparoscopy; liver biopsy.