Gross Description -- Liver Failure


The specimen is received fresh labeled "liver". It consists of a total native hepatectomy, 1380 grams and 21.5 x 19.0 x 7.1 cm. The capsular surface is smooth, tan-pink and exhibits a nutmeg appearance. The caudate lobe is 6.0 x 2.6 x 1.8 cm. There is no adjacent inferior vena cava and hepatic veins are probe patient.

There is an attached 9.5 cm. tan-green gallbladder with an open circumference of 7.0 cm., a wall thickness of 0.2 cm., and an attached cystic duct of 0.7 cm. which has an open circumference of 0.6 cm. The gallbladder contains approximately 50 ml of a black-green, viscous bile, and no stones. The mucosal surface is black, bile-stained and velvety.

At the superficial hilus, the portal vein, hepatic arteries and common duct are probe patent. On cut section, the parenchyma is tan-pink and rubbery, and a diffuse nutmeg pattern. Identified are multiple well-circumscribed small nodules, 0.1 to 0.3 cm. These nodules are scattered diffusely throughout the parenchyma. The ducts on cut surface are bile-stained and green black.

Tissue is frozen in OCT and in bulk. Tissue is placed in stock and digital image captures are taken. Representative sections are submitted.

Microscopic Description


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