Hepatic endometriosis is a very rare form of endometriosis first described by Rokitansky in 1986. To our knowledge, 42 cases of hepatic endometriosis have been reported in the literature till date. The condition offers a diagnostic challenge owing to its variable presentation on imaging and the need for histological and immunohistochemical evidence for a definite diagnosis. We hereby present the 43rd case of ectopic endometrium in the liver of a 30 years old, multiparous female who presented with fever and pain in the right hypochondrium. Radiological imaging suggested a cystic lesion which was managed laparoscopically. Histopathology and immunohistochemistry findings came out to be consistent with endometriosis. The case highlighted the importance of considering endometriosis as a differential in all women irrespective of age and previous history of endometriosis.

Cystic echinococcosis, also known as hydatid disease, rarely occurs in aorta. In this article, we report a rare case of pseudo-aneurysm of the lower descending thoracic aorta communicating with the hydatid cyst; surgical excision was performed with primary repair of aorta. This report emphasizes the need for early diagnosis of hydatid cyst with high index of suspicion in endemic areas, particularly if in the vicinity of a major vessel and aggressive investigations followed by subsequent early treatment before disabling and life-threatening complications occur.