Confluent hepatic fibrosis

Discussion:

The patient after surgery, presented sepsis and hypotension, which is why her hospitalization is prolonged. When she was discharged, she experienced intermittent itching, jaundice, and fever.

It is difficult, on some occasions, to be able to differentiate diffuse fibrotic lesions of the liver parenchyma from neoplasic nodular lesions, such as intrahepatic cholangiocarcinoma. In this case, the edges of the same and their distribution are striking.
It was also useful to have a liver biopsy that was acquired during cholecystectomy available, the result of which was reported a METAVIR score A1 F1.

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