Hepatic pedicle endometriosis: Case report and review of the literature

Camille Eychenne, Eychenne C, Suc B, Bertrand Suc, Marie Charlotte Delchier, Marie C Delchier, Delchier MC, Vidal F, Fabien Vidal, Rimailho J, Jacques Rimailho, J. Rimailho, Illac C, Claire Illac, Breibach F, Florence Breibach, Charlotte Vaysse, Vaysse C, Élodie Chantalat, Chantalat E, Elodie Chantalat
Journal of Obstetrics and Gynaecology Research · 2019 · vol. 45(10) , pp. 2121–2127 · doi:10.1111/jog.14078 · PMID:31368157 · W2966759933
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This report describes the first case of endometriosis in the hepatic pedicle of a postmenopausal patient, diagnosed via surgical biopsy and treated medically with aromatase inhibitors due to the lesion's inoperability.

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Abstract

The localization of endometriotic disease in the hepatic pedicle has never been reported to date. We report the first case of a 67-year-old postmenopausal patient having presented an endometriotic lesion in the hepatic pedicle. A surgical biopsy was needed to confirm the diagnosis after a first radiologic biopsy that concluded the presence of a mucinous cystic tumor with low-grade dysplasia. Medical treatment with aromatase inhibitors was carried out because of the inextirpable nature of the lesion. The diagnosis and therapeutic management of this rarely occurring lesion of atypical localization in a postmenopausal patient is presented here. A review of the literature on this localization could have led to a damaging surgical treatment due to the different diagnoses suggested. Management of endometriosis relies on a multidisciplinary approach that each practitioner must know how to broach with patients of all ages.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Liver Liver Diseases Aged Aged Endometriosis Endometriosis Endometriosis Female Female Humans Humans Liver Liver Liver Liver Diseases Liver Diseases Liver Diseases Magnetic Resonance Imaging Magnetic Resonance Imaging

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (32)

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