肝脏子宫内膜异位症误诊为肝包虫病的诊断与治疗

肝脏子宫内膜异位症是一种罕见的盆腔外子宫内膜异位症。目前全球仅有30余例报道。因其发病率低、临床表现不典型，极易误诊。2012年11月5日南京军区福州总医院收治1例因彩色多普勒超声检查发现肝占位性病变的患者。术前拟诊为肝占位性病变，肝包虫病待查。患者经手术治疗，术后病理检查证实为肝脏子宫内膜异位症。

Diagnosis and treatment of hepatic endometriosis misdiagnosed as hepatic echinococcosis

Hepatic endometriosis is a rare form of aty- pical endometriosis, only 30 cases were reported worldwide. Most cases of hepatic endometriosis were misdiagnosed due to the lack of typical symptoms. One patient with space-occupying lesions in the liver diagnosed by color Doppler ultrasonography were admit- ted to the Fuzhou General Hospital of Nanjing Military Command on November 5, 2012. The patient was preliminarily diagnosed as with hepatic echinococcosis and then received operation. The result of postoperative pathological examination confirmed hepatic endometriosis.