PMC4929385_01
Contrast-enhanced CT revealed necrotic changes (arrows) and atrophy of the liver with massive ascites (a, b; **) and bilateral pleural effusions (b; *).
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F1
CT imaging demonstrated heterogeneous hypoattentuation and atrophy of the liver with massive ascites (fig. 1).
A histological examination was conducted on the explanted liver. The microscopic findings revealed massive hemorrhagic necrosis. * Central veins of the liver. HE. a x40. b x200.
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F2
The volume of his liver was 730 g, and histology of the liver revealed submassive necrosis in the right lobe and massive necrosis in the left lobe (fig. 2).
Chart showing the course of ALT, PT-INR, and total bilirubin from first admission until liver transplantation. Total bilirubin level plateaued with medical treatment until liver transplantation.
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F3
During his hospitalization, no symptoms of infectious complications were observed (fig. 3).