Editor's quiz: GI snapshot. An unusual cystic lesion of liver

M Rao, Rao M, Yeluri S, S Yeluri, Ased Ali, A Ali, Ching SS, S S Ching, M J McMahon, McMahon MJ
Gut · 2006 · vol. 55(5) , pp. 742, 748 · doi:10.1136/gut.2005.066498 · PMID:16609137 · PMC1856144
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A 50-year-old woman with vague abdominal pain was found to have a large loculated liver cyst and bilateral adnexal cysts, prompting investigation into the etiology of the hepatic lesion.

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This clinical case report describes a 50-year-old woman presenting with an incidentally discovered, large cystic lesion in the right lobe of her liver. While the patient reported vague upper abdominal pain unrelated to menses, imaging revealed bilateral adnexal cysts alongside the hepatic mass extending toward the adrenal gland. The paper poses a diagnostic question regarding the etiology of this unusual liver cyst without providing the final answer within the provided text excerpt. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Clinical presentation A 50 year old woman was referred with a cystic lesion of the liver discovered incidentally on ultrasound. On questioning, she admitted to vague upper abdominal pain unrelated to food or menses. Physical examination was unremarkable. Blood investigations, including tumour markers, were normal. Scans confirmed the presence of bilateral adnexal cysts (not shown) along with a 12 cm loculated cystic lesion with an irregular outline in the posterior aspect of the right lobe of the liver that was extending to the right adrenal gland (see figs 1–3). Question What is the aetiology of the liver cyst? See page 748 for answer This case is submitted by:

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Condition tags

endometriosis

MeSH descriptors

Cysts Endometriosis Incidental Findings Incidental Findings Liver Liver Diseases Biopsy, Needle Biopsy, Needle Cysts Cysts Cysts Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Female Humans Humans

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europepmc
last seen: 2026-10-18T09:30:06.152893+00:00
pubmed
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