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Hepatic uterus-like mass misdiagnosed as hepatic abscess.

Publication ,  Journal Article
Sopha, SC; Rosado, FGN; Smith, JJ; Merchant, NB; Shi, C
Published in: Int J Surg Pathol
April 2015

BACKGROUND: Hepatic endometriosis/uterus-like mass is rare and may be overlooked during hepatic cyst workups. We report a case of uterus-like mass, misdiagnosed as hepatic abscess. CASE REPORT: A 47-year-old woman developed abdominal pain and vomiting. Infectious colitis with hepatic abscess was diagnosed, and remained antibiotic-refractory. Fine-needle aspiration and core biopsies showed benign contents. The patient presented to our institution with symptoms and normal blood work. Laparoscopic excision demonstrated a 1.4-cm cyst composed of endometrial glands (estrogen receptor+ and progesterone receptor+) and stroma (CD10+) with smooth muscle actin (SMA+), arranged in an organoid fashion. The patient, status-post hysterectomy, had no history or symptoms of endometriosis. CONCLUSION: This rare case illustrates the merit of considering uterus-like mass/endometriosis in the differential diagnosis of antibiotic-refractory hepatic cysts. Cyst heterogeneity may confound needle biopsy. We report the first instance of a hepatic uterus-like mass, with a review of related entities, postulated histogenesis, and important clinical associations.

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Published In

Int J Surg Pathol

DOI

EISSN

1940-2465

Publication Date

April 2015

Volume

23

Issue

2

Start / End Page

134 / 139

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Teratoma
  • Pathology
  • Middle Aged
  • Liver Diseases
  • Liver Abscess
  • Humans
  • Female
  • Fallopian Tube Neoplasms
  • Endometriosis
 

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Sopha, S. C., Rosado, F. G. N., Smith, J. J., Merchant, N. B., & Shi, C. (2015). Hepatic uterus-like mass misdiagnosed as hepatic abscess. Int J Surg Pathol, 23(2), 134–139. https://doi.org/10.1177/1066896914534465
Sopha, Sabrina C., Flavia G. N. Rosado, J. J. Smith, Nipun B. Merchant, and Chanjuan Shi. “Hepatic uterus-like mass misdiagnosed as hepatic abscess.Int J Surg Pathol 23, no. 2 (April 2015): 134–39. https://doi.org/10.1177/1066896914534465.
Sopha SC, Rosado FGN, Smith JJ, Merchant NB, Shi C. Hepatic uterus-like mass misdiagnosed as hepatic abscess. Int J Surg Pathol. 2015 Apr;23(2):134–9.
Sopha, Sabrina C., et al. “Hepatic uterus-like mass misdiagnosed as hepatic abscess.Int J Surg Pathol, vol. 23, no. 2, Apr. 2015, pp. 134–39. Pubmed, doi:10.1177/1066896914534465.
Sopha SC, Rosado FGN, Smith JJ, Merchant NB, Shi C. Hepatic uterus-like mass misdiagnosed as hepatic abscess. Int J Surg Pathol. 2015 Apr;23(2):134–139.
Journal cover image

Published In

Int J Surg Pathol

DOI

EISSN

1940-2465

Publication Date

April 2015

Volume

23

Issue

2

Start / End Page

134 / 139

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Teratoma
  • Pathology
  • Middle Aged
  • Liver Diseases
  • Liver Abscess
  • Humans
  • Female
  • Fallopian Tube Neoplasms
  • Endometriosis