The von Meyenburg complex (VMC) comprises of the bile duct hamartomas (BHs). VMCs are benign biliary malformations that originate from the disorganization of the small intrahepatic bile ducts. VMCs typically cause no symptoms or disturbances in the liver function; thus, in most instances, they are diagnosed incidentally. However, on some occasions, they are difficult to differentiate from other liver lesions, in particular from small liver metastases; imaging studies are usually noncontributory, and biopsy is necessary for a definite diagnosis. We describe the case of a 61-year-old man who presented with abdominal pain.