PMC9148242_01
PMC9148242_02
The histology of the explanted liver. (a) Hemorrhage and necrosis in the centrilobular lesion (zone 3). (b) Central vein obliteration. (c) Portal areas are relatively intact.
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fig1
Histopathologic findings showed necrosis and hemorrhage in zone 3 and central vein obliteration, which were compatible with VOD/SOS (Figure 1).
Postoperative course in this patient. The upper graph shows total bilirubin, aspartate aminotransferase, and alanine aminotransferase level after LDLT, as well as liver biopsy findings. The lower band shows the duration of granulocyte-stimulating factor administration and infectious events.
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fig2
A liver biopsy on POD 26 revealed hepatocyte ballooning and suggested small-for-size syndrome (SFSS) (Figure 2).