Abstract
We herein report on a 62-year-old man who developed extraadrenal pheochromocytoma and von Meyenberg complexes of the liver (bile duct microhamartoma). The patient identified preoperatively as having a paraaortic mass which was subsequently diagnosed to be a pheochromocytoma. During the operation, small multiple nodules were unexpectedly recognized in the liver. Some of the liver nodules were resected by a wedge biopsy, and then were pathologically identified to be von Meyenberg complexes. This may be the first reported case of the coexistence of pheochromocytoma and von Meyenberg complexes. It is therefore necessary for surgeons to be aware of von Meyenberg complexes in the differential diagnosis of multiple liver metastases in malignant disease.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Orchard T, Grant CS, van Heerden JA, Weaver A (1993) Pheochromocytoma—continuing evolution of surgical therapy. Surgery 114:1153–1159
Peplinski GR, Norton JA (1994) The predictive value of diagnostic tests for pheochromocytoma. Surgery 116:1101–1110
Samaan NA, Hickey RC, Shutts PE (1988) Diagnosis, localization, and management of pheochromocytoma; pitfalls and followup in 41 patients. Cancer 62:2451–2460
Chung EB (1970) Multiple bile-duct hamartomas. Cancer 26:287–296
MacSween RMN, Anthony PP, Scheuer PJ, Burt AD, Portmann BC (1993) Pathology of the liver, Churchill Livingstone, Edinburgh, pp 101–103
Klatskin G, Conn HO (1993) Histopathology of the liver, Vol. 1. Oxford University Press, New York, pp 272–273
Kremen AF, Hill E, Kremen AJ (1985) Pheochromocytoma, renal artery stenosis, and lymphocytic lymphoma associated with von Recklinghausen’s neurofibromatosis. Minn Med 68:99–101
Michal M, Havlicek F (1996) Corticomedullary tumors of the adrenal glands. Report of two cases. Association of corticomedullary tumor with spindle cell sarcoma. Pathol Res Pract 192:1082–1089
McLaughlin MJ, Philips MJ (1975) Angiographic findings in multiple bile-duct hamartomas. Radiology 116:41–43
Bruns CD, Kuhms JG, Wieman J (1990) Cholangiocarcinoma in association with multiple biliary microhamartomas. Arch Pathol Lab Med 114:1287–1289
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tanaka, F., Mori, M., Haraguchi, M. et al. Coexisting extraadrenal pheochromocytoma and von Meyenberg complexes: Report of a case. Surg Today 29, 80–82 (1999). https://doi.org/10.1007/BF02482976
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02482976