Gross Description -- Acute Liver Failure


The specimen is received unfixed labeled "liver". It consists of a 1330 gram native hepatectomy, 22.0 x 18.0 x 9.0 cm. The capsular surface is firm, brown and hemorrhagic. The attached caudate lobe is 6.0 x 2.5 x 2.0 cm. There is no adjacent inferior vena cava. The associated hepatic veins are pink and grossly free of obstruction. The attached gallbladder is 9.5 x 4.0 x 2.0 cm. and has a smooth, hemorrhagic serosal surface. The gallbladder contains approximately 20 cc of a thick, hemorrhagic bile. It is 6.0 cm. in open circumference and has a wall thickness of 0.2 cm. The mucosal surface is trabecular and hemorrhagic. The 1.5 cm. of attached cystic duct is free of obstruction and 0.7 cm. in circumference. On dissection of the superficial hilus, patent portal vein, hepatic arteries and hepatic duct are noted. The cut surface of the liver consists of tan, congested, rubbery parenchyma with multiple bile-stained regenerative nodules, ranging from 0.2 to 0.5 cm. in greatest dimension in both right and left lobes. The vessels and ducts on cut surface are free of obstruction. Gross photos are taken and representative tissue is frozen in bulk and stocked in formalin. Sections are submitted.

Microscopic Description


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