case_images: PMC4929385_01
case_images: Contrast-enhanced CT revealed necrotic changes (arrows) and atrophy of the liver with massive ascites (a, b; **) and bilateral pleural effusions (b; *).
case_images: crg-0010-0139-g01.jpg
case_images: PMC4929385_01_crg-0010-0139-g01.jpg
case_images: F1
case_images: CT imaging demonstrated heterogeneous hypoattentuation and atrophy of the liver with massive ascites (fig. 1).
case_images: A histological examination was conducted on the explanted liver. The microscopic findings revealed massive hemorrhagic necrosis. * Central veins of the liver. HE. a x40. b x200.
case_images: crg-0010-0139-g02.jpg
case_images: PMC4929385_01_crg-0010-0139-g02.jpg
case_images: F2
case_images: The volume of his liver was 730 g, and histology of the liver revealed submassive necrosis in the right lobe and massive necrosis in the left lobe (fig. 2).
case_images: Chart showing the course of ALT, PT-INR, and total bilirubin from first admission until liver transplantation. Total bilirubin level plateaued with medical treatment until liver transplantation.
case_images: crg-0010-0139-g03.jpg
case_images: PMC4929385_01_crg-0010-0139-g03.jpg
case_images: F3
case_images: During his hospitalization, no symptoms of infectious complications were observed (fig. 3).