2018, Number 5
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Ann Hepatol 2018; 17 (5)
Rare Case of Hepatic Endometriosis as an Incidental Finding: Difficult Diagnosis of a Diagnostic Dilemma
Keramidaris D, Gourgiotis S, Koutela A, Mpairamidis E, Oikonomou C, Villias C, Rigas A
Language: English
References: 11
Page: 884-887
PDF size: 257.83 Kb.
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 characterised
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.
REFERENCES
Haas D, Chvatal R, Reichert B, Renner S, Shebl O, Binder H, Wurm P, et al. Endometriosis: a premenopausal disease? Age pattern in 42,079 patients with endometriosis. Arch Gynecol Obstet 2012; 286: 667-70.
Fluegen G, Jankowiak F, Zacarias Foehrding L, Kroepil F, Knoefel WT, Topp SA. Intrahepatic endometriosis as differential diagnosis: case report and literature review. World J Gastroenterol 2013; 19: 4818-22.
Gourgiotis S, Veloudis G, Pallas N, Lagos P, Salemis NS, Villias C. Abdominal wall endometriosis: report of two cases. Rom J Morphol Embryol 2008; 49: 553-5.
Giudice LC. Clinical practice. Endometriosis. N Engl J Med 2010; 362: 2389-98.
Finkel L, Marchevsky A, Cohen B. Endometrial cyst of the liver. Am J Gastroenterol 1986; 81: 576-8.
Agarwal N, Subramanian A. Endometriosis-morphology, clinical presentations and molecular pathology. J Lab Physicians 2010; 2: 1-9.
Goldsmith PJ, Ahmad N, Dasgupta D, Campbell J, Guthrie JA, Lodge JP. Case hepatic endometriosis: a continuing diagnostic dilemma. HPB Surg 2009; 2009: 407206.
Nezhat C, Kazerooni T, Berker B, Lashay N, Fernandez S, Marziali M. Laparoscopic management of hepatic endometriosis: report of two cases and review of the literature. J Minim Invasive Gynecol 2005; 12: 196-200.
Weinfeld RM, Johnson SC, Lucas CE, Saksouk FA. CT diagnosis of perihepatic endometriosis complicated by malignant transformation. Abdom Imaging 1998; 23: 183-4.
N’Senda P, Wendum D, Balladur P, Dahan H, Tubiana JM, Arrive L. Adenosarcoma arising in hepatic endometriosis. Eur Radiol 2000; 10: 1287-9.
Inal M, Biçakçi K, Soyupak S, Oguz M, Ozer C, Demirbas O, Akgül E. Hepatic endometrioma: a case report and review of the literature. Eur Radiol 2000; 10: 431-4.