case_images: PMC6217876_01
case_images: PMC6217876_02
case_images: Sinusoidal distension and congestion with many crescent-shaped or needle-shaped red cells and sickle cells (arrowheads) are seen in this field, along with mild steatosis in hepatocytes (H&E, 500x, before reperfusion).
case_images: CRIT2018-5154136.001.jpg
case_images: PMC6217876_02_CRIT2018-5154136.001.jpg
case_images: fig1
case_images: The liver biopsy protocol included preclamping and prerevascularization biopsy with mild siderosis and steatosis, hepatocyte ballooning, rare canalicular cholestasis, and moderate sinusoidal congestion with predominance of drepanocytes (Figure 1).
case_images: Kupffer cell erythrophagocytosis (arrows) and scarce sickle cells (arrowheads) in sinusoids, as well as some hepatocellular vacuolar degeneration (H&E, 500x).
case_images: CRIT2018-5154136.002.jpg
case_images: PMC6217876_02_CRIT2018-5154136.002.jpg
case_images: fig2
case_images: Kupffer cell erythrophagocytosis and scarce sickle cells were still seen in a biopsy performed on the following day (Figure 2), along with some ischemic areas.