Laparoscopic excision of liver endometriosis
This paper details a laparoscopic excision for a rare case of liver endometriosis causing right shoulder and upper abdominal pain, demonstrating the procedure and its effectiveness.
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This paper presents a case-based surgical video on laparoscopic excision of exceptionally rare hepatic endometriosis in a woman with recurrent right upper abdominal and right shoulder pain despite a history of endometriosis. MRI showed a nodular perihepatic mass with hemosiderin deposition, and the authors describe using a 0-degree laparoscope to perform adhesiolysis, expose the lesion, and resect deep-infiltrating endometriosis in the upper abdomen. The paper concludes that laparoscopic excision appears suitable and effective for hepatic endometriosis but emphasizes that such procedures are uncommon and should be performed by an experienced surgical team, with the major caveat being the limited evidence base implied by a single/few-case context. This paper is centrally about endometriosis — specifically hepatic endometriosis managed via laparoscopic excision.
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