Endometrioma of the Liver: A Case Report and Review of the Literature

Abstract

Hepatic endometriosis is a rare form of endometriosis first described by Finkel in 1986. A thorough review of the literature revealed 28 cases of hepatic endometriosis. This unusual condition offers several diagnostic challenges due to its variable appearance on imaging and need for histologic analysis to establish a definitive diagnosis. We present a 42-year-old female initially treated for presumed hydatid cyst that was later found to be endometriosis in the liver. The case highlights the importance of considering endometriosis in the differential for a patient presenting with a solitary liver mass regardless of age and previous history of endometriosis.

Endometrioma Unveiled: A Comprehensive Review of the Pathogenesis, Diagnosis, and Current Management Strategies of Ovarian Endometriosis

“…Several case reports have been reported in the literature and have demonstrated cases presented mainly with upper quadrant pain and eventually diagnosed as hepatic endometriosis. 22,23,24 Noteworthy, only 41% had a prior history of endometriosis; thus, endometriotic lesions should be suspected even if the patient has no prior history of endometriosis. 22 Urinary tract endometriosis (UTE) is the second most common form of extra-pelvic endometriosis.…”

“…22,23,24 Noteworthy, only 41% had a prior history of endometriosis; thus, endometriotic lesions should be suspected even if the patient has no prior history of endometriosis. 22 Urinary tract endometriosis (UTE) is the second most common form of extra-pelvic endometriosis. 20 According to discussed reports, abdominal pain and hematuria was the most common finding in kidney endometriosis.…”

Rare extragenital endometriosis: pathogenesis and therapy

“…The most convenient therapy is surgical, and the type of surgery depends on the extent of the lesion and its localization (Table 4, Ref. [133,[136][137][138][139][140][141][142][143][144][145][146][147][148][149]).…”