[An imprint in the liver].

Area of Science:

• Reproductive Endocrinology
• Surgical Pathology
• Hepatobiliary Medicine

Background:

• Uterine myomas (fibroids) are common benign tumors of the uterus.
• Hepatic adenomas are benign liver tumors often associated with oral contraceptive use.
• Symptomatic liver lesions require thorough investigation to determine the underlying cause.

Observation:

• A 35-year-old woman with a history of uterine myomas presented with a symptomatic liver lesion.
• Initial imaging and clinical suspicion pointed towards an atypical hepatic adenoma.
• Surgical exploration was performed to diagnose and manage the liver lesion.

Findings:

• The liver lesion was unexpectedly identified as a uterine myoma.
• The myoma was found to be attached to the thoracic wall.
• This suggests a potential iatrogenic or developmental anomaly related to prior uterine myoma treatment.

Implications:

• This case expands the differential diagnosis for symptomatic liver lesions.
• It underscores the importance of a comprehensive patient history, including prior treatments for gynecological conditions.
• Further investigation may be warranted into the mechanisms of uterine myoma migration or adhesion formation.