case_images: PMC9483631_01
case_images: Abdominal computed tomography shows acute hepatitis with mild hepatosplenomegaly.
case_images: aoem-34-e22-g001.jpg
case_images: PMC9483631_01_aoem-34-e22-g001.jpg
case_images: F1
case_images: ALT 2,650 IU/L), gamma glutamyl transpeptidase was 215 IU/L, and total bilirubin (TB) and direct bilirubin (DB) were 9.41 mg/dL and 6.77 mg/dL, respectively. Abdominal computed tomography revealed acute hepatitis with mild hepatosplenomegaly (Fig. 1).
case_images: Abdominal ultrasonography. (A) The liver shows diffuse decreased parenchymal echogenicity with prominent portal venular wall echogenicity. The gallbladder shows diffuse wall edema. (B) Elastography: the mean shear wave velocity was 3.26 +- 0.24 m/s.
case_images: aoem-34-e22-g002.jpg
case_images: PMC9483631_01_aoem-34-e22-g002.jpg
case_images: F2
case_images: The mean shear wave velocity was 3.26 +- 0.24 m/s, suggesting stage 4 fibrosis (> 1.86 m/s) (Fig. 2).
case_images: Schematic diagram of workplace.
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case_images: PMC9483631_01_aoem-34-e22-g003.jpg
case_images: F3
case_images: He had worked on coating using organic solvents on spot 10 in Fig. 3 since June 2016, and he always wore the provided personal protective equipment including respirator, gloves and apron while working.