Wei S C, Huang G T, Chen C H, Sheu J C, Tsang Y M, Hsu H C, Chen D S
Department of Internal Medicine, National Taiwan University Hospital, Taipei.
J Clin Gastroenterol. 1997 Dec;25(4):608-11. doi: 10.1097/00004836-199712000-00012.
Bile duct hamartomas (von Meyenburg's complexes) of the liver are usually detected at laparotomy or autopsy as an incidental finding, and usually they are multiple. We report two cases of proved bile duct hamartomas of the liver. The first was in a 65-year-old man whose initial sepsis and many hepatic lesions were interpreted as microabscess of the liver. The second patient was a 39-year-old man, a hepatitis B surface antigen carrier, in whom an incidental hepatic tumor was found. We suggest that liver biopsy be done in hepatic lesions with uncertain clinical features, because the histologic findings may change the treatment plan.
肝脏胆管错构瘤（冯·迈恩伯格复合体）通常在剖腹手术或尸检时作为偶然发现被检测到，且通常为多发。我们报告两例经证实的肝脏胆管错构瘤病例。第一例是一名65岁男性，其最初的败血症和许多肝脏病变被解释为肝微脓肿。第二例患者是一名39岁男性，为乙肝表面抗原携带者，偶然发现肝脏肿瘤。我们建议，对于临床特征不明确的肝脏病变应进行肝活检，因为组织学检查结果可能会改变治疗方案。
