Hepatic Endometriosis Misdiagnosed as Hepatic Epithelioid Hemangioendothelioma

We describe the case of a young 42-year-old female who suffered from cyclical right upper quadrant abdominal pain that led to an emergency department visit where an intrahepatic mass was found on imaging. Initial CT-guided biopsy led to the diagnosis of hepatic epithelioid hemangioendothelioma, and the patient was referred to a liver transplant center. She underwent hepatic segmentectomy with right nephrectomy and surgical pathology came to the correct diagnosis of hepatic endometriosis.