Hepatic endometriosis: Surgical management and literary considerations of a rare disease

Endometriosis is a benign, chronic, estrogen-dependent disease that affects about 33% of patients of childbearing age. The hepatic form is rare, there are very few cases reported in the literature. To evaluate hepatic endometriosis, considered a rare form of the disease. Literature review based on articles entered in scientific databases, such as PubMed and Scientific Electronic Library, using the descriptors: “Endometriosis” and “Pelvic pain”, without temporal filter. cases: Only 42 were described in the literature about hepatic endometriosis. The preoperative diagnosis of the pathology is usually difficult and challenging, since the radiological features and clinical symptoms tend to vary. In cases of uncertainty, the differential diagnosis with liver masses should always be considered. For diagnosis, it is necessary to evaluate the patient's clinical complaints such as abdominal pain with worsening at the beginning of the menstrual cycle, dispareun infertility. In addition, the most widespread treatment currently is surgery with resection of the lesion by lapar, associated with the histopathological study. Furthermore, hormonal treatment also proves to be an effective disease influencing the process.