Abstract: 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 admitted 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.