Giant endometrial cyst of the liver: a case report and review of the literature

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AI-generated summary by gemini-2.5-flash-lite, 2026-06-07

This case report describes a 27-year-old female who underwent resection of a giant hepatic endometriosis, a rare condition often difficult to diagnose preoperatively due to nonspecific imaging findings.

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Abstract

Endometriosis is a benign condition described as the presence of endometrial- like tissue found outside the uterine cavity. Hepatic endometriosis is one of the rarest localization of extrapelvic endometriosis, only 22 cases have been reported in the literature. The preoperative diagnosis of hepatic endometriosis is rather difficult because in about the half of the patient affected they had no history of endometriosis. Moreover radiological images reveal no characteristic findings for hepatic endometriosis. It is often described as cystic mass with or without solid component, difficult to distinguish from hepatic abscess, hematoma, cystoadenoma or malignant neoplasia. We report a case of a 27-year-old female with a large cystic mass involving the left lobe of the liver. The patient underwent laparoscopic exploration and converted to laparotomy for resection of giant hepatic endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Cysts Endometriosis Endometriosis Liver Diseases Adult Cysts Cysts Cysts Diagnosis, Differential Endometriosis Endometriosis Female Hepatectomy Hepatectomy Humans Liver Diseases Liver Diseases Treatment Outcome

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References (30)

Cited by (8)

Source provenance

europepmc
last seen: 2026-09-21T06:08:07.822426+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:21:00.404924+00:00
License: CC0 · commercial use OK