“Starry liver” - Von Meyenburg complex clinical case presentation and differential diagnosis discussion: A case report

Figure 1 Abdominal contrast-enhanced ultrasound imaging of the patient. Marked echostructural inhomogeneity of the liver.

Figure 2 Ultrasound-controlled multiple needle liver biopsy. The procedure was performed to obtain hepatic tissue for histopathological examination.

Figure 3 Histopathological examination of the punctured liver biopsy specimen. Microphotograph of histological appearance of liver biopsy specimen showing in the peri-portal region a group of ductal structures embedded in a hyalinized stroma. The ductal structures appear variably dilated and focal microcystic. These ducts are lined with a cubic or flattened biliary epithelium. (hematoxylin-eosin staining, magnification × 20).

Figure 4 Gadolinium contrast-enhanced magnetic resonance cholangiography. Multiple lesions were hyperintense on coronal thick slab T2 MIP. No communication between hamartomas and biliary ducts; noticeable typical formation of a “starry sky.”