Background: Abnormal findings of intra-abdominal organs can be examined during a laparoscopic surgery. Studies show that 4.7% of patients who underwent laparoscopic surgery for benign gynecologic conditions had liver abnormalities, such as perihepatic adhesion (Fitz-Hugh–Curtis syndrome), adenoma, hemangioma, and hepatic cirrhosis. Case: A 44-year-old woman, para3, presented with abnormal Pap smears and classified as cervical intraepithelial neoplasia (CIN) III. She was scheduled for laparoscopic-assisted vaginal hysterectomy. Her preoperative laboratory tests were within normal limit except for the reactive result of HBsAg. Intraoperative findings revealed a normal-sized liver with a nodular surface (Fig. 1a). Liver cirrhosis was suspected and subsequently diagnosed by the gastroenterologist. Conclusion: Abnormality of intra-abdominal organs can be detected during a laparoscopic surgery for a gynecologic condition, especially in the upper abdomen. (J GYNECOL SURG 31:283)
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