PMC10335402_01
Portal vein thrombosis (Yerdel III).
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During the second surgical procedure, a more difficult intraoperative scenario was found caused by a complex portal vein thrombosis (Yerdel III)   (Figure 1), sarcopenia, and previous surgery.
Intraoperative ultrasound lesions on segments VII and segment II.
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After liver reperfusion, an ultrasound with liver doppler detected a hypoechogenic lesion of approximately 2 cm of diameter with a solid aspect and irregular edges located in segment VII (Figure 2) and also, a hypoechogenic and irregular diminutive mass, with approximately 1 cm of diameter in segment II (Figure 3).
Macroscopy of lesions on segments VII and segment II.
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PMC10335402_01_0102-6720-abcd-36-e1740-gf04.jpg
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After liver reperfusion, an ultrasound with liver doppler detected a hypoechogenic lesion of approximately 2 cm of diameter with a solid aspect and irregular edges located in segment VII (Figure 2) and also, a hypoechogenic and irregular diminutive mass, with approximately 1 cm of diameter in segment II (Figure 3).