CYSTIC ENDOMETRIOSIS OF THE UPPER ABDOMINAL ORGANS - REPORT ON 3 CASES AND REVIEW OF THE LITERATURE

A 34-year-old woman with signs and symptoms of an acute abdomen was fo und to have a hepatic cyst on NMR- and CT-scan. With the tentative dia gnosis of a liver hematoma, a right hemihepatectomy was performed. His tologically, an endometrial cyst of the liver was found. A second case of cystic endometriosis in the liver was revealed ultrasonographicall y in a 62-year-old woman, complaining of rightsided epigastrical pain. A 28-year-old woman was admitted to the hospital because of recurrent epigastric pain. A cystic tumor of the pancreas could be visualized u ltrasonographically and was interpreted as a postinflammatory pseudocy st. Histological examination of the distal pancreatectomy specimen rev ealed cystic endometriosis. The clinicopathological features of hepati c and pancreatic endometriosis are discussed and the literature concer ning these extremely rare lesions is reviewed.