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Hepatic endometriosis: a case report
L Cravello1, C D'Ercole, Y P Le Treut
1La Conception Hospital, Marseille, France.
Objective:
To describe a case of hepatic endometriosis.
Design:
Case report.
Setting:
University hospital.
Patient:
A 34-year-old woman with a 2-year history of cyclic right subcostal pain.
Interventions:
Gonadotropin-releasing hormone agonist (GnRH-a) therapy followed by surgical resection.
Results:
Ultrasonography, computed tomography scan, and magnetic resonance imaging of the liver disclosed a 6-cm diameter mass. The GnRH-a therapy for 4 months led to clinical and radiologic improvement. Surgery performed to allow pregnancy confirmed the diagnosis of hepatic endometriosis.
Conclusions:
Hepatic endometriosis is uncommon. It may result from metaplasia of the peritoneum or from hematogenic or lymphatic spread.