{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:22:45Z","timestamp":1788182565313,"version":"build-2803163510"},"reference-count":4,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hepatic endometriosis is a rare extrapelvic manifestation that can mimic hepatic neoplasia and, exceptionally, cause hemoperitoneum. We report a 45\u2010year\u2010old nulligravid woman with longstanding deep endometriosis and anticoagulation for cavoiliac deep venous thrombosis who presented with severe right lumbar pain and signs of peritoneal irritation. Computed tomography showed a 127\u2009\u00d7\u2009120\u2009\u00d7\u2009112\u2009mm heterogeneous subcapsular and parenchymal lesion in hepatic segments VI\u2013VII, with hyperattenuating ascites compatible with hemoperitoneum. Magnetic resonance imaging demonstrated a solid\u2010cystic lesion with T2 hyperintensity, intrinsic T1 hyperintense blood products, and heterogeneous enhancement, together with bilateral hemorrhagic adnexal endometriotic lesions. After temporary interruption of apixaban, vena cava filter placement, and phrenic artery embolization, multidisciplinary surgery evacuated approximately 1.5\u2009L of hemoperitoneum and controlled bleeding from ruptured hepatic endometriotic tissue. Histopathology confirmed hepatic endometriosis. Recognition of hemorrhagic imaging features in the context of deep endometriosis is essential to avoid misclassification as malignancy and guide timely multidisciplinary management.<\/jats:p>","DOI":"10.1002\/ijgo.71343","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:10:31Z","timestamp":1788181831000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hepatic endometriosis causing hemoperitoneum in a woman with deep endometriosis"],"prefix":"10.1002","author":[{"given":"Mar\u00eda Jos\u00e9","family":"Guti\u00e9rrez Sierra","sequence":"first","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1063-6940","authenticated-orcid":false,"given":"Isabella Andrea","family":"Bola\u00f1os Berm\u00fadez","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana Patricia","family":"Rodr\u00edguez Pinto","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Leonardo","family":"Torres Castiblanco","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Fernando","family":"Torres Cort\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar Mauricio","family":"Rivero Rapalino","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aohep.2019.08.006"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/4734606"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2016.08.004"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.233482"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71343","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.71343","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T13:10:31Z","timestamp":1788181831000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.71343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":4,"alternative-id":["10.1002\/ijgo.71343"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.71343","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"2026-07-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ijgo.71343"}}