PMC10036174_01
Axial T2-weighted magnetic resonance image demonstrates that the signal intensity of the liver is lower than that of the paraspinal musculature (white arrow), indicating hepatic iron deposition.
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In magnetic resonance cholangiopancreatography for biliary tree evaluation, radiologists pointed out mild hepatic iron deposition due to lower signal intensity of the liver compared to the signal of paraspinal musculature on T2-weighted images (Figure 1).
Preoperative donor percutaneous liver biopsy showed an almost normal liver with slight deposition of iron in 2-3% of hepatocytes (arrows in B), but not in the Kupffer cells. (a) Hematoxylin and eosin stain. (b) Berlin blue stain.
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Liver biopsy showed an almost normal liver with a slight deposition of iron in 2-3% of hepatocytes, but no iron deposition in the Kupffer cells (Figures 2(a) and 2(b)).
Postoperative clinical course of the LDLT recipient. Abbreviations: AST: aspartate aminotransferase; ALT: alanine aminotransferase; PT-INR: prothrombin time-international normalized ratio; T-bil: total bilirubin.
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The recipient was discharged from the hospital on POD #87 (Figure 3).
The recipient's percutaneous liver biopsy one year after liver transplantation showed an almost normal liver with iron deposition in less than 1% of the hepatocytes (arrow in B). (a) Hematoxylin and eosin stain. (b) Berlin blue stain.
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The recipient's percutaneous liver biopsy one year after LDLT showed an almost normal liver with iron deposition in less than 1% of the hepatocytes (Figures 4(a) and 4(b)).