EC Gastroenterology and Digestive System

Biliary hamartomas are rare congenital anomalies of bile duct development, usually discovered incidentally. They often present as multiple lesions on the liver surface, resembling metastatic lesions.

We report a case of a 45-year-old woman with no significant comorbidities who presented with recurrent hepatic colic episodes and gastroesophageal reflux. An ultrasound revealed a diffuse heterogeneous liver echotexture. Biliary MRI (Magnetic Resonance Imaging) confirmed the diagnosis of von Meyenburg complex.

Our case aims to discuss the imaging diagnosis of these rare benign hepatic lesions while highlighting the potential for malignancy-an often overlooked feature-underscoring the importance of follow-up.

 Keywords: Multiple Biliary Hamartomas (MBH); Von Meyenburg Complexes (VMCs); MRI (Magnetic Resonance Imaging)

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