PMC2787019_01
Contrast-enhanced computed tomography scan performed 8 days postoperatively (Case 1). The stomach (white arrow) is filled with blood after upper gastrointestinal bleeding from gastro-oesophageal varices secondary to portal hypertension. Multiple large collateral veins run along the stomach and spleen (white asterisk).
CRM2009-457975.001.jpg
PMC2787019_01_CRM2009-457975.001.jpg
fig1
A CT scan performed on the same day showed impressive portacaval collateral shunting in the splanchnic area (see Figure 1).
PMC2787019_02
Overview of the intra-operatively obtained liver specimen (Case 2) in which the liver has a disturbed architecture with nodular appearance of liver parenchyma (white arrows) characteristic of nodular regenerative hyperplasia. Areas with sinusoidal congestion are also present (black arrow). Hematoxylin and eosin, original magnification 50x.
CRM2009-457975.002.jpg
PMC2787019_02_CRM2009-457975.002.jpg
fig2
Histologic examination of the liver specimen showed a nodular appearance with hepatic congestion characteristic of NRH (Figures 2 and 3).
Detail of the intra-operative liver specimen (Case 2) showing nodular regenerative hyperplasia in which a regenerative nodule (white arrow) is bordered by irregular aligned small-sized hepatic trabeculae (black arrows). Hematoxylin and eosin, original magnification 100x.
CRM2009-457975.003.jpg
PMC2787019_02_CRM2009-457975.003.jpg
fig3
Histologic examination of the liver specimen showed a nodular appearance with hepatic congestion characteristic of NRH (Figures 2 and 3).