Portal vein thrombosis and hepatic infarction due to hepatic mobilization after primary debulking surgery for advanced ovarian cancer: A case report

Hepatic mobilization is essential in debulking surgery for resecting diaphragmatic lesions in advanced ovarian cancer. However, hepatic mobilization potentially induces postoperative portal vein thrombosis and hepatic infarction. No reports exist regarding these postoperative complications of gyneco...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2024-10, Vol.50 (10), p.1990-1994
Main Authors: Onishi, Junki, Odajima, Suguru, Koike, Yuki, Takenaka, Shin, Tanabe, Hiroshi
Format: Article
Language:English
Subjects:
Complications
Computed tomography
Cytoreduction Surgical Procedures - methods
Diaphragm
Female
Heparin
hepatic infarction
Hepatic Infarction - etiology
Humans
Hysterectomy
Ileostomy
Infarction
Liver
Middle Aged
Ovarian cancer
ovarian neoplasms
Ovarian Neoplasms - surgery
Ovariectomy
Portal vein
Portal Vein - surgery
Postoperative
postoperative complications
Postoperative Complications - etiology
salpingo‐oophorectomy
Surgery
Thrombosis
Uterine cancer
Venous Thrombosis - etiology
Venous Thrombosis - surgery
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Summary:Hepatic mobilization is essential in debulking surgery for resecting diaphragmatic lesions in advanced ovarian cancer. However, hepatic mobilization potentially induces postoperative portal vein thrombosis and hepatic infarction. No reports exist regarding these postoperative complications of gynecological surgeries. Thus, we reported a case of portal vein thrombosis and hepatic infarction after ovarian cancer surgery with upper abdominal surgery. The 51‐year‐old female patient who had been diagnosed with advanced ovarian and early endometrial cancer underwent primary debulking surgery. Ultimately, she underwent the following surgical procedures: a hysterectomy, bilateral salpingo‐oophorectomy, total parietal peritonectomy, low anterior resection, ileostomy, and appendicectomy. The hepatic enzymatic and D‐dimer levels were elevated, postoperatively. Contrast‐enhanced computed tomography revealed portal vein thrombosis and an infarction of the hepatic S3 region. The portal vein thrombosis resolved post‐administration of unfractionated heparin. The hepatic infarction improved. Meticulous intra‐ and postoperative management should encompass the deliberation of the potential risk of these postoperative complications.
ISSN:1341-8076
1447-0756
1447-0756
DOI:10.1111/jog.16081