A Rare Case of Tumefactive Endomyometriosis of the Liver

Extrauterine adenomyoma: A case report and systematic review of the literature

“…In 2020, the US Food and Drugs Administration (FDA) released a statement affirming that power morcellation of uterine masses should be performed only within tissue‐containing bags to avoid unwanted occult malignancy dissemination 99,100 . According to our research, six cases reported morcellation of the uterus after hysterectomy, either robotic or laparoscopic 18,28,35,36,40,77 . Of these, only in the case of Belmarez et al 35 was a non‐contained uterus morcellation specified, without details on the technique of extraction.…”

“…99,100 According to our research, six cases reported morcellation of the uterus after hysterectomy, either robotic or laparoscopic. 18,28,35,36,40,77 Of these, only in the case of Belmarez et al 35 was a non-contained uterus morcellation specified, without details on the technique of extraction. Despite this lack of data, we can hypothesize that in-bag morcellation with different technique variations should be employed to avoid unwanted EA.…”

“…[20][21][22] Extrauterine adenomyoma is a rare condition that is usually located at the level of the pararectal space, the ovary, the peritoneum or the broad ligament. 14,[23][24][25] Other reported sites of disease include the uterosacral ligament, 20,26 omentum, 18,27,28 liver, [28][29][30][31] bowel, 19,22,27,[32][33][34][35][36][37] mesentery, [38][39][40] abdominal and pelvic wall, 27,41,42 nerve structures, 43,44 inguinal region, [45][46][47] tubes, [48][49][50] and diaphragm and lung. 28 The most common reported symptoms include abdominopelvic pain, abdominal discomfort, dyspareunia, bowel obstructive symptoms, and pelvic heaviness.…”

“…14,[23][24][25] Other reported sites of disease include the uterosacral ligament, 20,26 omentum, 18,27,28 liver, [28][29][30][31] bowel, 19,22,27,[32][33][34][35][36][37] mesentery, [38][39][40] abdominal and pelvic wall, 27,41,42 nerve structures, 43,44 inguinal region, [45][46][47] tubes, [48][49][50] and diaphragm and lung. 28 The most common reported symptoms include abdominopelvic pain, abdominal discomfort, dyspareunia, bowel obstructive symptoms, and pelvic heaviness. 14,[23][24][25] Extrauterine adenomyoma is a diagnostic challenge because no specific imaging feature is available.…”

“…Large, lobulated, heterogeneous soft-tissue mass lesion in left lower lumbar region, closely abutting jejunum and descending colon, with loss of intervening fat planes, measuring 12.4 × 10.3 × 8 cm Yalon 202228 Known hepatic and omental masses that increased in sizePresent study Scan during arterial and venous phase shows significant contrast-enhancement of the lesion's solid component. The pelvic mass shows solid densitometry with contextual fluid hypodense lacunae TA B L E 3 (Continued) TA B L E 4 Magnetic resonance imaging features of extrauterine adenomyoma.…”