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

IF 1.6 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Junki Onishi, Suguru Odajima, Yuki Koike, Shin Takenaka, Hiroshi Tanabe
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引用次数: 0

Abstract

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.

晚期卵巢癌初次剥离手术后肝脏移动导致门静脉血栓形成和肝梗死:病例报告。
在切除晚期卵巢癌膈肌病变的剥离手术中,肝脏动员是必不可少的。然而,肝脏动员可能会诱发术后门静脉血栓和肝梗塞。目前还没有关于妇科手术术后并发症的报道。因此,我们报告了一例卵巢癌上腹部手术后门静脉血栓形成和肝梗死的病例。这名 51 岁的女性患者被诊断出患有晚期卵巢癌和早期子宫内膜癌,并接受了初级切除手术。最终,她接受了以下手术:子宫切除术、双侧输卵管切除术、全顶腹膜切除术、低位前切除术、回肠造口术和阑尾切除术。术后肝酶和 D-二聚体水平升高。对比增强计算机断层扫描显示门静脉血栓形成和肝S3区梗塞。门静脉血栓在使用非分数肝素后消退。肝梗塞有所好转。缜密的术中和术后管理应包括考虑这些术后并发症的潜在风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
376
审稿时长
3-6 weeks
期刊介绍: The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.
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