title: [Multiple bile duct hamartomas of the liver -- a rare differential diagnosis to liver metastasis].
abstract: Multiple bile duct hamartomas of the liver (von Meyenburg complex) are mostly incidental findings at autopsy. The 79-year-old female patient was presented to us with a superinfected Paget lesion of the right nipple. Ultrasound examination of the liver revealed multiple scattered hyperechoic lesions as well as some anechoic lesions, suspicious of metastatic disease. Computed tomography showed multiple focal lesions. The ultrasound-guided needle biopsy of the liver revealed multiple benign bile duct hamartamas. Magnetic resonance imaging ruled out diffuse malignant infiltration of the liver.
authors.affiliation: Klinik für Innere Medizin, Krankenhaus Siloah, Pforzheim.
authors.forename: M
authors.initials: M
authors.lastname: Hettinger
authors.forename: M
authors.initials: M
authors.lastname: Klotz
authors.forename: L
authors.initials: L
authors.lastname: Bolay
authors.forename: P
authors.initials: P
authors.lastname: Weber
mesh_terms: D000368:Aged; D001649:Bile Duct Diseases / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D005260:Female; D006222:Hamartoma / Q000000981:diagnostic imaging*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000473:pathology; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary*; D008279:Magnetic Resonance Imaging; D016896:Treatment Outcome; D014463:Ultrasonography