Case Report

Endometrioma of the Liver: A Case Report and Review of the Literature

Table 1

Patient characteristics, presentation, and treatment of case reports of hepatic endometriosis.

Author, YearAgeParityPre/Post-MenopausalPrior Pelvic SurgeryHysterectomyHistory of EndometriosisSymptomsMethod of DiagnosisTreatment

Asran, 201061UnknownPostSalpingo-oophorectomyYesYesPost prandial epigastric painCT guided percutaneous liver biopsyN/A
Bouras, 201335NulliparousPreNoNoNoRecurrent, intermittent epigastric painSurgeryL lateral hepatic sectionectomy by laparotomy
Chung, 199840MultiparousPreL ovarian cystectomyNoYesAsymptomaticSurgeryCyst enucleation
De Riggi, 201627NulliparousPreNoNoNoPainless abdominal massSurgeryL hepatectomy by laparotomy
Finkel, 198621UniparousPreL fallopian tube cyst removalNoNoEpisodic sharp, epigastric pain associated with nausea and vomiting not related to mensesSurgeryCyst enucleation + Danazol
Fluegen, 201332NulliparousPreNoNoNoRUQ painSurgeryUltrasonic pericystectomy
Goldsmith, 200948NulliparousN/ASalpingo-oophorectomyYesYesRelapsing/remitting chronic RUQ painSurgeryNonanatomic resection, laparotomy, ultrasonic cyst aspiration
Groves, 200352N/AN/AOophorectomyYesNoRUQ painSurgeryR hepatectomy
Hertel, 201244N/AN/AOophorectomyPartialnoSudden onset upper abdominal painSurgeryPartial hepatectomy
Huang, 200256N/APostSalpingo-oophorectomyYesYesIntermittent epigastric pain not associated with mensesSurgeryL hepatic lobectomy by laparotomy
Inal, 200025N/APreNoNoYesPelvic pain, mass and rectal hemorrhagePercutaneous CT guided biopsyDanazol
Jelovsek, 200452UniparousPostSalpingo-oophorectomyYesYesFlu like symptoms, pleuritic chest painSurgeryLeuprolide, then resection via laparotomy
Keramidaris, 201840MultiparousPreNoNoNoAsymptomatic, incidentalSurgeryCystectomy by laparotomy
Khan, 200231N/AN/AHysterectomy, salpingo-oophorectomyYesYesMalaise, abdominal distentionSurgeryR hepatectomy + goserelin
Khan, 200261N/APostNoNoYesRUQ painSurgeryR hepatectomy
Liu, 201536UniparousPreNoNoNoRUQ pain prior to menstruationSurgeryPericystectomy
N'Senda, 200254UniparousPostHysterectomy, oophorectomyYesNoRUQ pain for 1 yearSurgeryRight hepatectomy by thoracolaparotomy
Nezhat, 2005 (1)36NulliparousN/ANoNoNoCyclic epigastric pain for 1 yearSurgeryCyst removal by CO2 laser laparoscopically
Nezhat, 2005 (2)30NulliparousN/ANoNoYesChronic pelvic pain, dysmenorrhea, and painful bowel movementsSurgeryLaparoscopic removal of liver mass
Reid, 200346NulliparousN/AOophorectomyYesyesRUQ painSurgeryR hepatectomy + goserelin
Rivkine, 201351MultiparousN/AHysterectomyYesnoEpigastric pain, vomitingSurgeryL lobectomy by laparotomy
Roesch-Dietlan, 201125NulliparousPreNoNoNoRelapsing/remitting RUQ painSurgeryIncidentally found during laparoscopic cholecystectomy, treated with danazol
Rovati, 199037NulliparousPreNoNoYesChronic, acyclic epigastric painSurgerySegmentectomy by laparotomy + Danazol
Schuld, 201139UniparousPreNoNoNoRUQ pain, coughSurgerySegmentectomy, transdiaphragmatic pulmonary wedge resection
Sherif, 201644N/APreHysterectomyYesYesRUQ pain and vomitingCT guided core biopsySegmentectomy
Tuech, 200342NulliparousN/ANoNoNoChronic, acyclic epigastric painSurgeryDeroofing & cystectomy
Verbeke, 1996 (1)34N/APreNoNoNoAcute abdomenSurgeryR hemihepatectomy
Verbeke, 1996 (2)62N/APostYesNoNoRUQ painSurgeryCholecystectomy, L hepatectomy
Rana, 201942MultiparousPreHysterectomy, L oophorectomyYesNoSevere RUQ pain, N/VSurgeryL partial hepatectomy