A Case Report and Literature Review: Intrahepatic Multicystic Biliary Hamartoma

Wang C1#, Shi F1#, Huang W1#, Tang Y1#, Li T2* and He G2*

1The Second Clinical Institute Clinical Medicine, The Remarkable and Innovation Class, Southern Medical University, China
2Second Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, China
#These authors contributed equally to this work

^*Correspondance to: Guolin He 

 PDF  Full Text DOI: 10.25107/2474-1647.3521

Abstract

Background: Multicystic Biliary Hamartoma (MCHB) is a rare hamartomatous nodule of the liver, which has recently been described as a new category of hepatic nodular cystic lesion. Most of them are clinically benign. The imaging findings are similar to those of many other hepatic cystic lesions, but MCBH also has some notable features, such as large cysts, smooth cyst walls, and lack of communication with the hepatic duct. Due to the non-specific radiology, preoperative diagnosis is difficult, and is usually diagnosed by postoperative pathology. Complete resection is the best treatment option, and the postoperative prognosis is good. Case Report: This article reports a case of a patient with MCBH. The main points of the patient were the patient had no other obvious symptoms except abdominal distension, presenting as a space-occupying lesion. The Computed Tomography (CT) scan found liver lesion. The patient underwent laparoscopic resection of the right liver tumor. The postoperative pathology and immunohistochemistry were both diagnosed as MCBH. The cyst was excised and the patient was treated with anti-infection, liver care, analgesia, nutritional support and dressing change. Conclusion: When the patients have MCBH, they require a combination of imaging and pathology for diagnosis. Under normal circumstances, the prognosis of MCBH is good. When we find abdominal distension, regardless of age, we should go to the hospital for related auxiliary examination to determine the cause, and give treatment to prevent the disease from developing and worsening.

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Cite the article

Wang C, Shi F, Huang W, Tang Y, Li T, He G. A Case Report and Literature Review: Intrahepatic Multicystic Biliary Hamartoma. Clin Surg. 2022; 7: 3521..