Hello, All your symptoms could be due to certain medications, such as cholesterol-lowering drugs (statins) and acetaminophen, fatty liver disease, both alcoholic and nonalcoholic, hemochromatosis, hepatitis A, hepatitis B, hepatitis C, alcoholic hepatitis and autoimmune hepatitis, or herbal supplements and vitamin supplements, like chaparral, comfrey tea, iron and vitamin A. Other causes of elevated liver enzymes include alpha-1 antitrypsin deficiency, cancer, celiac disease, cirrhosis of the liver, hemolysis, metabolic syndrome, muscle conditions, like polymyositis, thyroid disease, Wilson disease, primary sclerosing cholangitis, or primary biliary cirrhosis Factors that put you at risk for elevated liver enzymes include alcohol abuse, certain medications, herbs and vitamin supplements, diabetes, family history of liver disease, hepatitis or exposure to hepatitis. Most people with elevated liver enzymes don’t have symptoms. If liver damage is the cause of elevated liver enzymes, you may have symptoms such as abdominal pain, dark urine, fatigue, itching, jaundice, light-colored stools, loss of appetite, nausea, and vomiting. About one-third of people with elevated liver enzymes will have normal liver enzyme levels after two to four weeks. If your liver enzymes stay high, your provider may order more blood tests, or imaging tests such as ultrasound, CT scan or MRI. They may also refer you to a liver specialist (hepatologist). You can have ultrasound abdomen and pelvis thus imaging ovaries too. CA 125 can be ordered if you have a doubt about ovarian cancer spreading to liver. Your mother in law might have died due to metastatic ovarian cancer spreading to liver. It s not necessary that it repeats in your case. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist