Rare Case of Hepatic Endometriosis as an Incidental Finding: Difficult Diagnosis of a Diagnostic Dilemma

Dimitrios Keramidaris, Stavros Gourgiotis, Αντωνέλλα Κουτέλα, Antonella Koutela, Evgenios Mpairamidis, Christianna Oikonomou, Constantinos Villias, Alexios Rigas
Annals of hepatology · 2018 · vol. 17(5) , pp. 884–887 · doi:10.5604/01.3001.0012.3173 · PMID:30145568 · W2888671200
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes a rare instance of asymptomatic hepatic endometriosis, a cystic mass in the liver, diagnosed definitively by histopathology after surgical removal.

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Abstract

Endometriosis is the abnormal existence of functional uterine mucosal tissue outside the uterus. It is a usual disorder of women in reproductive age which is mainly located in the female genital tract. Hepatic endometriosis is one of the rarest disorders characterized by the presence of ectopic endometrium in the liver. It is often described as cystic mass with or without solid component. Preoperative diagnosis is difficult via cross-sectional imaging and histopathologic evaluation remains the gold standard for diagnosis. We report an asymptomatic 40-year-old female with a large cystic mass involving the left hepatic lobe. She underwent laparoscopic removal of the cyst. The diagnosis of hepatic endometriosis was established by the histopathological analysis of the surgical specimen.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Incidental Findings Liver Diseases Adult Biopsy Diagnosis, Differential Endometriosis Endometriosis Endometriosis Endometriosis Female Humans Laparoscopy Liver Diseases Liver Diseases Liver Diseases Liver Diseases Magnetic Resonance Imaging Predictive Value of Tests Treatment Outcome

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (9)

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