Ultrasound in Cholangiofibromas of the Liver Detected by Laparoscopy

H.-M. Vogel; K. Friedrich; H. Koch

doi:10.1055/s-2007-1018368

Endoscopy, Table of Contents

Endoscopy 1986; 18(5): 185-187
DOI: 10.1055/s-2007-1018368

Ultrasound in Cholangiofibromas of the Liver Detected by Laparoscopy

H.-M. Vogel, K. Friedrich, H. Koch¹

Clinic Foehrenkamp of the Federal Institute for Salaried Employees' Insurance (Head: Prof. Dr. med. H. Henning) Moelln, FRG

Dedicated to Prof. Dr. med. H. Henning on the occasion of his 60th birthday. 1Supported by Research Funds of the Federal Institute for Salaried Employees' Insurance

Abstract

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Summary

We investigated the question as to whether benign cholangiofibromas of the liver (biliary microharmatomas) show specific structures in ultrasound.

Patients with single, sporadic, multiple or diffuse cholangiofibromas (n = 53), detected by laparoscopy and verified by histology, were examined by ultrasound. The single and sporadic type (n = 30) could not be detected by US. In patients with the multiple and diffuse type (N = 23) the descriptive US finding was: “increased content of fibrous tissue, cirrhotic transformation possible”.

Thus we conclude that patients with non-specific alterations of the liver in the ultrasound image must undergo further investigation by laparoscopy. Blind biopsy is not capable of verifying the presence of cholangiofibromas.

Key words:

Cholangiofibromas of the liver - Laparoscopy - Ultrasonography

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