case_images: PMC8030544_01
case_images: Abdominal computed tomography with the normal contour of the liver (radiology report-liver enhances homogeneously, no focal liver lesion and patent portal vein)
case_images: JMAU-9-41-g001.jpg
case_images: PMC8030544_01_JMAU-9-41-g001.jpg
case_images: F1
case_images: Table 2. A computed tomography (CT) scan of her brain, chest, abdomen, and pelvis was unremarkable, specifically demonstrating a normal liver texture with normal biliary dilation [Figure 1]. The echocardiogram showed normal left ventricular function and size.
case_images: Liver histology (see powerpoint file) showed there was centriacinar (zone 3) necrosis and collapse. The reticulin framework is condensed in this zone. Reticulin stain, medium power
case_images: JMAU-9-41-g002.jpg
case_images: PMC8030544_01_JMAU-9-41-g002.jpg
case_images: F2
case_images: A postmortem examination showed acute massive liver necrosis with collapse, particularly in zone 3 with no siderosis or evident inflammatory hepatitis [Figure 2].