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An unexpected liver lesion?

Journal Volume 84 - 2021
Issue Fasc.2 - Clinical images
Author(s) T. De Somer 1, M. D’Hondt 2, K. Carels 3, E. Monsaert 1, V. Bouderez 1, E. Vanderstraeten 1, H. Alaerts 4, C. Van Steenkiste 1 5
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PAGES 385-386
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DOI10.51821/84.2.385
Affiliations:
(1) Department of Gastroenterology and Hepatology, Maria Middelares Hospital, Buitenring Sint-Denijs 30, 9000 Gent, Belgium
(2) Department of Abdominal Surgery, AZ Groeninge Hospital, President Kennedylaan 4, 8500 Kortrijk, Belgium
(3) Department of Radiology, Maria Middelares Hospital, Buitenring Sint-Denijs 30, 9000 Gent, Belgium
(4) Department of Histopathology, AZ Groeninge Hospital, President Kennedylaan 4, 8500 Kortrijk, Belgium
(5) University Hospital Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium.

A 50-year-old woman presented with pain in her right upper abdomen. In her medical history we note a Caesarean section and a laparotomy with bilateral ovariectomy because of benign cysts. The liver enzymes were mildly elevated: aspartate transaminase 40 U/l (reference < 32 U/l), alanine transaminase 53 U/l (reference < 31 U/l), gamma-glutamyl transferase 97 U/l (reference 5 – 36). Computed tomography (CT) revealed a large lesion in the right liver lobe with a cyst within cyst appearance and with important compression of the surrounding tissue (figure 1, panel A). The total diameter measured 29 cm by 17 cm by 22 cm.

Keywords: Abdominal pain, endometrial cyst, hepatic endometriosis..

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.