Case Report: Preoperative evaluation by cine MRI and ultrasonography for intraabdominal adhesions in a post-liver transplant patient with endometrioid cyst

Hirokazu Arima, Juri Sugiyama, Mitsuko Takano, Masataka Furuya, Hironori Asada, Daisuke Aoki, Yasunori Yoshimura, Masaharu Mori, Ken Hoshino
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2010 · vol. 26(2) , pp. 401–404 · doi:10.5180/jsgoe.26.401 · W2325300496
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Cine MRI and Doppler ultrasonography preoperatively evaluated intra-abdominal adhesions and collateral venous routes in a post-liver transplant patient, enabling uneventful laparoscopic surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This case report describes a 19-year-old woman with endometriosis who underwent laparoscopic treatment 6 years after a liver transplant, where the authors aimed to reduce the high risk of visceral injury from trocar insertion. Using functional cine MRI to assess intra-abdominal adhesions and color Doppler ultrasonography to evaluate extrahepatic collateral (recanalization via umbilical and paraumbilical veins), they found no adhesions between the small bowel and the abdominal wall around the umbilicus. With these preoperative imaging results, laparoscopic surgery was completed without complications. The report is limited by being a single case and does not provide broader evidence. This paper is centrally about endometriosis — it reports preoperative cine MRI and Doppler ultrasound evaluation to support safe laparoscopic management of an endometriosis-associated cyst in a post-liver transplant patient.

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Abstract

We present a case of a 19 year-old woman with endometriosis treated by laparoscopy 6 years after a liver transplant. This case had a high risk of visceral injury during trocar insertion. We used cine MRI for evaluation of intra-abdominal adhesions and color Doppler ultrasonography for detecting extrahepatic collateral routes. Previous major abdominal surgery has been considered a relative contraindication to laparoscopic surgery. Visceral injury during trocar insertion is comparatively frequent in laparoscopic surgery, especially for patients with a history of abdominal surgery. Functional cine MRI imaging has been reported to be a reliable noninvasive technique for detecting intra-abdominal adhesions. In this case, preoperative cine MRI findings showed no intra-abdominal adhesions between the small bowel and abdominal wall around the umbilicus. It is known that, after a liver transplant or its possible associated portal hypertension, there is a risk of recanalization by the umbilical and paraumbilical veins, which act as collaterals. We used cine MRI and Doppler ultrasound to evaluate this patient preoperatively for the presence of recanalization by these veins. We were able to perform laparoscopic surgery without complications with the use of preoperative cine MRI and Doppler ultrasound.
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Case report Case Report: Preoperative evaluation by cine MRI and ultrasonography for intraabdominal adhesions in a post-liver transplant patient with endometrioid cyst 2010 Volume 26 Issue 2 Pages 401-404 Details Abstract We present a case of a 19 year-old woman with endometriosis treated by laparoscopy 6 years after a liver transplant. This case had a high risk of visceral injury during trocar insertion. We used cine MRI for evaluation of intra-abdominal adhesions and color Doppler ultrasonography for detecting extrahepatic collateral routes. Previous major abdominal surgery has been considered a relative contraindication to laparoscopic surgery. Visceral injury during trocar insertion is comparatively frequent in laparoscopic surgery, especially for patients with a history of abdominal surgery. Functional cine MRI imaging has been reported to be a reliable noninvasive technique for detecting intra-abdominal adhesions. In this case, preoperative cine MRI findings showed no intra-abdominal adhesions between the small bowel and abdominal wall around the umbilicus. It is known that, after a liver transplant or its possible associated portal hypertension, there is a risk of recanalization by the umbilical and paraumbilical veins, which act as collaterals. We used cine MRI and Doppler ultrasound to evaluate this patient preoperatively for the presence of recanalization by these veins. We were able to perform laparoscopic surgery without complications with the use of preoperative cine MRI and Doppler ultrasound. Previous major abdominal surgery has been considered a relative contraindication to laparoscopic surgery. Visceral injury during trocar insertion is comparatively frequent in laparoscopic surgery, especially for patients with a history of abdominal surgery. Functional cine MRI imaging has been reported to be a reliable noninvasive technique for detecting intra-abdominal adhesions. In this case, preoperative cine MRI findings showed no intra-abdominal adhesions between the small bowel and abdominal wall around the umbilicus. It is known that, after a liver transplant or its possible associated portal hypertension, there is a risk of recanalization by the umbilical and paraumbilical veins, which act as collaterals. We used cine MRI and Doppler ultrasound to evaluate this patient preoperatively for the presence of recanalization by these veins. We were able to perform laparoscopic surgery without complications with the use of preoperative cine MRI and Doppler ultrasound. © 2010 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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