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Abdominal CT scan at 8 months prior to the donor surgery. There was no significant liver abnormality except for early enhancement of dilated hepatic veins.
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Aspartate transaminase (AST), Alanine transaminase (ALT), albumin, and coagulation tests, were consistently normal. Abdominal CT scan at 8 months prior to the donor surgery showed no significant liver abnormality except for early enhancement of dilated hepatic veins (Fig. 1).
Abdominal CT scan at 2 months prior to the donor surgery. There was no obvious findings of liver cirrhosis, although liver appeared to be decreased in size compared to previous CT.
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In abdominal CT scan at 2 months prior to the donor surgery, there was no obvious findings of liver fibrosis, although liver appeared to be decreased in size (Fig. 2).
Intraoperative findings of liver. The liver was decreased in size with multiple macronodular lesions. Liver edge was irregular and rounded.
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The appearance of the liver was slightly reduced in size and multiple macronodular lesions were detected (Fig. 3).
Histological findings of liver biopsy. (A) low-magnification view and (B) high-magnification view of trichrome stain showing periportal fibrotic expansion with marked portal to portal and portal to central bridging. Lymphocyte were scattered within this collagenous tissues.
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A trichrome-stained permanent section of the liver demonstrated advanced fibrosis (stage F3-4) as shown in Fig. 4, which supported the intraoperative liver appearance and our decision.