PMC5968266_01
Enhanced computed tomography revealed splenic vein thrombosis on postoperative day 5 (a; arrow). Right renal infarction was identified on postoperative day 20 (b; arrowhead).
crg-0012-0165-g01.jpg
PMC5968266_01_crg-0012-0165-g01.jpg
F1
On postoperative day (POD) 5, enhanced CT revealed splenic vein thrombosis (Fig. 1a), for which anticoagulation therapy with intravenous heparin was started with a target APTT of 40-60 s. However, enhanced CT on POD 20 incidentally demonstrated right renal infarction (Fig. 1b).
The clinical course of the patient after liver transplantation. Anticoagulant therapy with heparin was started on postoperative day 5 and warfarin was started on postoperative day 16 to maintain a therapeutic prothrombin time-international normalized ratio (PT-INR) between 1.5 and 2.5. NM, nafamostat mesilate.
crg-0012-0165-g02.jpg
PMC5968266_01_crg-0012-0165-g02.jpg
F2
On POD 16, warfarin was started to maintain PT-INR between 1.5 and 2.5, and intravenous heparin was discontinued once PT-INR had become therapeutic (Fig. 2).