case_images: PMC11403680_01
case_images: The liver biopsy showed moderate to severe inflammation in PTs (a, hematoxylin and eosin 2.5x). The inflammatory infiltrate was composed of lymphocytes, eosinophils (arrows), and rare plasmocytes (b, hematoxylin and eosin 30x). An active cholangitis was focally observed. A moderate portal fibrosis was observed with initial formation of short septa (Metavir score F3) (c, Masson trichrome 2.5x). A canalicular proliferation was also observed in PTs with discrete cholestasis (d, cytokeratin 7 2.5x).. PT, portal tract.
case_images: 10.1177_20420986241270866-fig1.jpg
case_images: PMC11403680_01_10.1177_20420986241270866-fig1.jpg
case_images: fig1-20420986241270866
case_images: A transvenous liver biopsy was performed, covering 24 mm of liver tissue, including 18 portal spaces (Figure 1).
case_images: Biochemical parameters evolution.
case_images: 10.1177_20420986241270866-fig2.jpg
case_images: PMC11403680_01_10.1177_20420986241270866-fig2.jpg
case_images: fig2-20420986241270866
case_images: Liver tests and bilirubin levels showed slow improvement (Figure 2).