case_images: PMC5556611_01
case_images: Case #1 trend in ALT and AST. ALT: alanine aminotransferase; AST: aspartate aminotransferase.
case_images: CRIHEP2017-3180984.001.jpg
case_images: PMC5556611_01_CRIHEP2017-3180984.001.jpg
case_images: fig1
case_images: AST 9378 U/L) (Figures 1 and 2). Abdominal imaging was negative for acute pathology including vascular liver disease.
case_images: Case #1 trend in Total Bilirubin and INR. T. Bili: Total Bilirubin; INR: International Randomized Ratio.
case_images: CRIHEP2017-3180984.002.jpg
case_images: PMC5556611_01_CRIHEP2017-3180984.002.jpg
case_images: fig2
case_images: AST 9378 U/L) (Figures 1 and 2). Abdominal imaging was negative for acute pathology including vascular liver disease.
case_images: PMC5556611_02
case_images: Case #2 trend in AST and ALT. ALT: alanine aminotransferase; AST: aspartate aminotransferase.
case_images: CRIHEP2017-3180984.003.jpg
case_images: PMC5556611_02_CRIHEP2017-3180984.003.jpg
case_images: fig3
case_images: On presentation, she was febrile and tachycardic with laboratory data significant for aminotransferase elevation (ALT 998 U/L, AST 4559 U/L) and disseminated intravascular coagulopathy (DIC) (Figures 3 and 4).
case_images: Case #2 trend in Total Bilirubin and INR. T. Bili: Total Bilirubin; INR: International Randomized Ratio.
case_images: CRIHEP2017-3180984.004.jpg
case_images: PMC5556611_02_CRIHEP2017-3180984.004.jpg
case_images: fig4
case_images: On presentation, she was febrile and tachycardic with laboratory data significant for aminotransferase elevation (ALT 998 U/L, AST 4559 U/L) and disseminated intravascular coagulopathy (DIC) (Figures 3 and 4).
case_images: PMC5556611_03
case_images: Case #3 trend in AST and ALT. ALT: alanine aminotransferase; AST: aspartate aminotransferase.
case_images: CRIHEP2017-3180984.005.jpg
case_images: PMC5556611_03_CRIHEP2017-3180984.005.jpg
case_images: fig5
case_images: On postoperative day (POD) 8, she had an acute increase in aminotransferases (ALT of 712 U/L, AST of 780 U/L) with all other values within normal limits (Figures 5 and 6); liver ultrasound did not show abnormalities.
case_images: Case #3 trend in Total Bilirubin and INR. T. Bili: Total Bilirubin; INR: International Randomized Ratio.
case_images: CRIHEP2017-3180984.006.jpg
case_images: PMC5556611_03_CRIHEP2017-3180984.006.jpg
case_images: fig6
case_images: On postoperative day (POD) 8, she had an acute increase in aminotransferases (ALT of 712 U/L, AST of 780 U/L) with all other values within normal limits (Figures 5 and 6); liver ultrasound did not show abnormalities.
case_images: Liver biopsy from patient 3 showing intranuclear viral inclusions within the necrotic areas.
case_images: CRIHEP2017-3180984.007.jpg
case_images: PMC5556611_03_CRIHEP2017-3180984.007.jpg
case_images: fig7
case_images: She underwent laparotomy for removal of the aneurysm and liver biopsy on POD 8 that showed patchy areas of hepatocyte necrosis (Figures 7 and 8).
case_images: HSV immunostain from liver biopsy (patient 3).
case_images: CRIHEP2017-3180984.008.jpg
case_images: PMC5556611_03_CRIHEP2017-3180984.008.jpg
case_images: fig8
case_images: She underwent laparotomy for removal of the aneurysm and liver biopsy on POD 8 that showed patchy areas of hepatocyte necrosis (Figures 7 and 8).