case_images: PMC6016175_01
case_images: Ecchymosis on calves developed as one of the signs of DIC after uncontrollable PPH.
case_images: CRIOG2018-2794374.001.jpg
case_images: PMC6016175_01_CRIOG2018-2794374.001.jpg
case_images: fig1
case_images: Signs of DIC developed with continuous blood loss (Figure 1), and her consciousness deteriorated within 30 minutes after arriving at the emergency department.
case_images: Trend of bilirubin levels.
case_images: CRIOG2018-2794374.002.jpg
case_images: PMC6016175_01_CRIOG2018-2794374.002.jpg
case_images: fig2
case_images: Unfortunately, hyperbilirubinemia progressed and became the main problem (Figure 2).
case_images: Trend of AST/ALT levels.
case_images: CRIOG2018-2794374.003.jpg
case_images: PMC6016175_01_CRIOG2018-2794374.003.jpg
case_images: fig3
case_images: Liver enzyme levels peaked on postoperative day 3 and then settled to about 100-200 IU/L (Figure 3).
case_images: Trend of PT/aPTT.
case_images: CRIOG2018-2794374.004.jpg
case_images: PMC6016175_01_CRIOG2018-2794374.004.jpg
case_images: fig4
case_images: Thrombocytopenia continued, along with prolonged prothrombin time (INR, 1.2-1.5) and activated partial thromboplastin time (1.5-2.5 times of normal control) (Figure 4).
case_images: Pretransplantation CT scan showed a large area of infarction in the right lobe of the liver (arrows).
case_images: CRIOG2018-2794374.005.jpg
case_images: PMC6016175_01_CRIOG2018-2794374.005.jpg
case_images: fig5
case_images: A liver transplantation was indicated, and a pretransplantation CT scan showed poor enhancement of the right hepatic lobe on the periphery covering about 50% of the total area, which was suggestive of liver infarction (Figure 5).
case_images: Gross appearance of the patient's liver during liver transplantation
case_images: CRIOG2018-2794374.006.jpg
case_images: PMC6016175_01_CRIOG2018-2794374.006.jpg
case_images: fig6
case_images: Intraoperatively, there were multiple micronodular lesions on the liver surface with marked swelling of the liver parenchyma and diffuse devitalized liver tissue in the right lobe of liver with necrosis and in the left lobe peripheral zone accounting for about 70%-80 % of the total liver volume (Figures 6 and 7).
case_images: Transection of the resected native liver (1850 g).
case_images: CRIOG2018-2794374.007.jpg
case_images: PMC6016175_01_CRIOG2018-2794374.007.jpg
case_images: fig7
case_images: Intraoperatively, there were multiple micronodular lesions on the liver surface with marked swelling of the liver parenchyma and diffuse devitalized liver tissue in the right lobe of liver with necrosis and in the left lobe peripheral zone accounting for about 70%-80 % of the total liver volume (Figures 6 and 7).