Ohta W, Ushio H
Endoscopy. 1984 Mar;16(2):71-4. doi: 10.1055/s-2007-1018536.
We report here a case with four black nodules on a smooth liver surface. The cystically dilated part of the intralobular bile duct of the microhamartoma contained bile pigments. Neither liver cysts nor cystic kidney were found. Spicular processes from the dilated bile duct were attached directly to the liver cell cords, seemingly to receive the secreted bile juice from the bile canaliculi. A convoluted tubular bile duct communicated with an interlobular terminal bile duct in the neighbouring portal triad. Thus, the so-called microhamartoma had not developed separately in the liver acini but had arisen in connection with both the liver cell cords and the terminal bile duct as part of the still functioning bile duct.
我们在此报告一例肝脏表面光滑但有四个黑色结节的病例。微错构瘤小叶内胆管的囊性扩张部分含有胆色素。未发现肝囊肿和肾囊肿。扩张胆管的棘状突起直接附着于肝细胞索,似乎是从胆小管接收分泌的胆汁。一条盘曲的管状胆管与相邻门管区的小叶间终末胆管相通。因此,所谓的微错构瘤并非在肝腺泡中单独发生,而是与肝细胞索和终末胆管相关联,作为仍在发挥功能的胆管的一部分出现。