Final Diagnosis -- Fulminant Hepatitis (Acute Liver Failure)
- FINAL DIAGNOSIS:
- NATIVE LIVER (1330 GRAMS), ORTHOTOPIC LIVER TRANSPLANTATION -
- A. CONFLUENT BRIDGING NECROSIS WITH SEVERE HEPATOCELLULAR
- DAMAGE, MICRO- AND MICROVESICULAR STEATOSIS, AND DUCTULAR
- TRANSFORMATION, CONSISTENT WITH DRUG OR TOXIN-INDUCED
- HEPATIC INJURY.
- B. GALLBLADDER WITH CHRONIC CHOLECYSTITIS.
ADDENDUM #1
ADDENDUM #1:
(1 PAS/D, 1 Orcein)
The PAS/D stain confirms focal bile duct injury and is negative
for alpha-1-antitrypsin globules. The orcein stain is negative
for Hepatitis B surface antigen and copper-associated protein
accumulation.