Verbeke C, Härle M, Sturm J
Pathologisches Institut, Fakultät für klinische Medizin Mannheim, Germany.
Pathol Res Pract. 1996 Mar;192(3):300-4; discussion 305. doi: 10.1016/S0344-0338(96)80235-4.
A 34-year-old woman with signs and symptoms of an acute abdomen was found to have a hepatic cyst on NMR- and CT-scan. With the tentative diagnosis of a liver hematoma, a right hemihepatectomy was performed. Histologically, an endometrial cyst of the liver was found. A second case of cystic endometriosis in the liver was revealed ultrasonographically 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 ultrasonographically and was interpreted as a postinflammatory pseudocyst. Histological examination of the distal pancreatectomy specimen revealed cystic endometriosis. The clinicopathological features of hepatic and pancreatic endometriosis are discussed and the literature concerning these extremely rare lesions is reviewed.
一名34岁有急腹症体征和症状的女性在核磁共振成像（NMR）和计算机断层扫描（CT）检查中发现有肝囊肿。初步诊断为肝血肿后，实施了右半肝切除术。组织学检查发现为肝脏子宫内膜囊肿。一名62岁主诉右上腹疼痛的女性经超声检查发现了第二例肝脏囊性子宫内膜异位症。一名28岁女性因反复上腹部疼痛入院。超声检查可见胰腺有一个囊性肿瘤，诊断为炎症后假性囊肿。远端胰腺切除术标本的组织学检查显示为囊性子宫内膜异位症。本文讨论了肝脏和胰腺子宫内膜异位症的临床病理特征，并回顾了有关这些极其罕见病变的文献。
