case_images: PMC11401153_01
case_images: Imaging manifestations. A. Abdominal ultrasound showed his liver parenchymal echo was enhanced, rough, uneven, indicating fatty liver and parenchymal injury. B. Computed tomography of abdomen showed splenomegaly, portal hypertension with open collateral circulation, possible cirrhosis. C. Computed tomography of chest showed a small nodule in the middle lobe of right lung. D and E. Gastroscopy displayed two veins visible 25 cm away from the incisor.
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case_images: PMC11401153_01_gr1.jpg
case_images: fig0005
case_images: Abdominal ultrasound revealed that his liver parenchymal echo was enhanced, rough, and uneven, indicating fatty liver and liver parenchymal injury (Fig. 1).
case_images: Disease progression and outcome. *, four sessions of artificial liver support system therapy. Abbreviation: ACLF, acute-on-chronic liver failure; PT-INR, international normalized ratio of prothrombin time; HEV, hepatitis E virus; Ref., reference value.
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case_images: PMC11401153_01_gr2.jpg
case_images: fig0010
case_images: TBIL to 329.6 mumol/L and PT-INR to 2.11 (Fig. 2). The primary diagnosis was revised to mid-stage