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Hepatic endometriosis: a case report.

作者信息

Cravello L, D'Ercole C, Le Treut Y P, Blanc B

机构信息

La Conception Hospital, Marseille, France.

出版信息

Fertil Steril. 1996 Oct;66(4):657-9. doi: 10.1016/s0015-0282(16)58585-9.

DOI:10.1016/s0015-0282(16)58585-9
PMID:8816634
Abstract

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.

摘要

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