HEPATIC ENDOMETRIOSIS - A CASE-REPORT

Objective: To describe a case of hepatic endometriosis. Design: Case r eport. Setting: University hospital. Patient: A 34-year-old woman with a 2-year history of cyclic right subcostal pain. Interventions: Gonad otropin-releasing hormone agonist (GnRH-a) therapy followed by surgica l resection. Results: Ultrasonography, computed tomography scan, and m agnetic resonance imaging of the liver disclosed a 6-cm diameter mass. The GnRH-a therapy for 4 months led to clinical and radiologic improv ement. Surgery performed to allow pregnancy confirmed the diagnosis of hepatic endometriosis. Conclusion: Hepatic endometriosis is uncommon. It may result from metaplasia of the peritoneum or from hematogenic o r lymphatic spread.