case_images: PMC10837645_01
case_images: Abdominal computed tomography (axial section). Liver characteristics of chronic liver disease and evidence of small perihepatic ascites.
case_images: cureus-0016-00000051630-i01.jpg
case_images: PMC10837645_01_cureus-0016-00000051630-i01.jpg
case_images: FIG1
case_images: Liver biopsy. Anatomopathological diagnosis: (A) architectural alteration with severe fibrosis, (B) advanced with bridges and parenchymal nodularity, a definitive indication of cirrhosis, finding histological and parenchymal changes with progressive chronic liver disease (chronic biliary disease/primary biliary cholangitis, in the stage of cirrhosis) without malignant neoplasm.
case_images: cureus-0016-00000051630-i02.jpg
case_images: PMC10837645_01_cureus-0016-00000051630-i02.jpg
case_images: FIG2
case_images: A liver biopsy was observed with evidence of architecture, nodularity, and enlargement of the portal spaces due to intense fibrosis, with the formation of porto-central septa and an inflammatory infiltration consisting of mononuclear elements, bile-duct involvement, and lymphoid aggregate formation with activity at the interface (Figure 2).