Transient elevations of liver enzymes and ovarian vein thrombosis arising after total laparoscopic hysterectomy

Ovarian vein thrombosis in non-pregnant patient is a rare clinical entity. Among 170 patients who underwent total laparoscopic hysterectomy (TLH) in our hospital from December 2011 to December 2015, we have one case of ovarian vein thrombosis (0.0059 %). A 42-year-old woman had a fever of 39 ‘C on t...

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Bibliographic Details
Published in:Gynecology and minimally invasive therapy 2017-11, Vol.6 (4), p.205-206
Main Authors: Minagawa, Mari, Etoh, Miho, Masuda, Masamune, Kurihara, Koki, Fukuyama, Mari, Yamamoto, Aya, Katoh, Seiko, Fujita, Hiroyuki
Format: Article
Language:English
Subjects:
Case Report
Complications
Liver enzymes
Obstetrics and Gynecology
Ovarian vein thrombosis
Total laparoscopic hysterectomy
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Summary:Ovarian vein thrombosis in non-pregnant patient is a rare clinical entity. Among 170 patients who underwent total laparoscopic hysterectomy (TLH) in our hospital from December 2011 to December 2015, we have one case of ovarian vein thrombosis (0.0059 %). A 42-year-old woman had a fever of 39 ‘C on the fourth day after TLH. A blood test revealed elevations of liver enzymes and D-dimer (AST 1157 U/L, ALT 942 U/L and D-dimer >30 μg/L). Computed tomography (CT) scan with intravenous contrast agent demonstrated right ovarian vein thrombosis which caused decline in blood flow to liver and acute liver dysfunction. Low-molecular weight heparin was initiated and liver enzymes reduced rapidly. On the seventeenth day after TLH, CT scan revealed a recanalization of the ovarian vein. We report the clinical outcomes of the case attempted with a small review of the literature.
ISSN:2213-3070
2213-3089
DOI:10.1016/j.gmit.2017.06.005