case_images: PMC2852596_01
case_images: (a) CT scan demonstrating extensive intraparenchymal hematoma and compression of portal vein (PV) branches; (b) for comparison, a CT scan from the same patient from 2 years prior shows the normal appearance of a right lobe graft with normal portal vein branches.
case_images: JTRAN2010-273578.001.jpg
case_images: PMC2852596_01_JTRAN2010-273578.001.jpg
case_images: fig1
case_images: In addition, there was a hypodense region within segment 8 in a subcapsular distribution which was felt to also represent hemorrhage or an area of infarction of the liver (Figure 1).
case_images: Hepatic arteriogram demonstrating medial displacement of hepatic arterioles due to mass effect of hematoma and lack of any arterial bleeding site.
case_images: JTRAN2010-273578.002.jpg
case_images: PMC2852596_01_JTRAN2010-273578.002.jpg
case_images: fig2
case_images: Selective angiograms in the anterior and posterior branches of the right hepatic artery failed to show any active bleeding or pseudoaneurysm (Figure 2).
case_images: Gross photo of explanted liver demonstrating large area of hemorrhage and necrosis.
case_images: JTRAN2010-273578.003.jpg
case_images: PMC2852596_01_JTRAN2010-273578.003.jpg
case_images: fig3
case_images: Explant demonstrated hemorrhage and adhesions of the serosa, multiple areas of ischemic necrosis occupying greater than 90% of the parenchyma, focal acute parenchymal hemorrhage, and central hematoma (Figures 3 and 4).
case_images: Photomicrograph of explanted liver demonstrating massive necrosis and architectural collapse.
case_images: JTRAN2010-273578.004.jpg
case_images: PMC2852596_01_JTRAN2010-273578.004.jpg
case_images: fig4
case_images: Explant demonstrated hemorrhage and adhesions of the serosa, multiple areas of ischemic necrosis occupying greater than 90% of the parenchyma, focal acute parenchymal hemorrhage, and central hematoma (Figures 3 and 4).