case_images: PMC10187787_01
case_images: Laboratory values (A) X-axis represents the date, the blue line represents alanine aminotransferase (ALT),the orange one represents aspartate aminotransferase (AST); (B) the blue line represents lipase, the orange one represents amylase, the patient's liver function and pancreatic enzyme levels gradually returned to normal after surgery; (C) the blue line represents platelet count, the orange one represents hemoglobin, the gray one represents plasma concentration, after 7 months of sirolimus treatment, the relationship between sirolimus concentration level and platelet count showed that the sirolimus treatment was ineffective.
case_images: fonc-13-1097997-g001.jpg
case_images: PMC10187787_01_fonc-13-1097997-g001.jpg
case_images: f1
case_images: We trialed 0.08 mg/kg/day sirolimus, but the plasma concentration was maintained at only 5-5.7 ng/mL, and the platelet count remained low ( Figure 1 ).
case_images: Surgical treatment. (A) Pancreatic kaposiform hemangioendothelioma was seen during the Whipple operation (white arrow); (B) Intraoperatively, the right lobe of the liver was seen to be shrunk, and liver biopsy was rereated (white arrow).
case_images: fonc-13-1097997-g002.jpg
case_images: PMC10187787_01_fonc-13-1097997-g002.jpg
case_images: f2