PMC3861246_01
Liver biopsy of the patient. (A) Hematoxylin and eosin (H&E) staining result; magnification, x5; (B) white mesh fabric plus Masson dyeing with diastase-periodic acid-Schiff (D-PAS) and CK7 antibody (magnification, x10). The frame indicates multiple lobules with severe congestion around the central veins, while perisinusoidal fibrosis and luminal occlusion of the venules may be observed with the congestion in the center. Multilayer reticular fiber proliferation existed in the small vein cavity.
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An ultrasonic B scan of the abdomen showed that there was a low to moderate level of pleural effusion and a large amount of peritoneal effusion; the abdominal computed tomography (CT) and CT angiography (CTA) results showed that anastomotic stenosis was present in the liver artery and inferior vena cava (Fig. 1).
Abdominal computed tomography (CT) and CT angiography (CTA) results showed that no significant stenosis or occlusion existed in the hepatic vein, inferior vena cava (IVC) or portal vein of the patient.
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The test results of the liver biopsy (Fig. 2) showed that the hepatic vein was occluded, and that there was necrosis with blood stasis in the center of the liver, combined with chronic cholangitis. The results of the abdominal ultrasound B-mode scan showed that no significant ultrasonographical or blood abnormalities existed in the graft liver (Fig. 2). The maximum thickness of right, left and caudate lobes was 11.25, 7.84 and 1.69 cm, respectively.