Incidental Biliary Hamartomas and MASLD Diagnosis – A Case Report
Abstract:
Background: MASLD (Metabolic Dysfunction-Associated Steatotic Liver Disease) is the updated term for hepatic steatosis associated with metabolic syndrome, affecting 30% of the global population. This case illustrates how an incidental finding can serve as a trigger for lifestyle changes.
Case Description: A 48-year-old married male office worker, healthy, presented to the clinic. He was a smoker and consumed 72 g of alcohol per week, with no regular medication. The patient sought consultation due to an incidental f inding on an abdominal ultrasound performed during check-up, revealing chronic liver disease. Blood tests showed elevated GGT, total cholesterol, and LDL. He was asymptomatic with a normal physical examination. A CT scan was requested, revealing hamartomas. Lifestyle modifications targeting dyslipidemia were recommended, and the patient was referred to Internal Medicine. Four months later, at the hospital consultation, the patient had lost 8 kg due to the modifications. Other causes of liver disease were ruled out, leading to the diagnosis of MASLD.
Discussion and Conclusion: This case is relevant for discussing the role of check-ups and the management of hepatic steatosis. Studies indicate that check-ups in asymptomatic populations do not reduce cancer or cardiovascular mortality. Hepatic steatosis, now termed MASLD, is increasingly relevant in clinical practice due to its association to metabolic and cardiovascular risk factors, emphasizing the need for preventive interventions. Family physicians, with their holistic approach and continuity of care, are in a privileged position to promote sustainable lifestyle changes tailored to each family's needs.
