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Endometriosis is increasingly considered as a systemic disease rather than a pelvic pathology [5]

When symptoms do occur, they may include: Persistent fatigue and malaise Vague right upper quadrant discomfort Hepatomegaly (enlarged liver) detected on examination Blood tests may reveal elevated liver enzymes such as ALT, AST, or GGT (gamma-glutamyltransferase), though these are laboratory findings rather than symptoms

More seriousbut rarerisks include pancreatitis, gallbladder issues, kidney problems, and thyroid tumors (seen mainly in animal studies)