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Figure 5. Fulminant hepatic failure. (a) This patient presented with fulminant liver failure with rapid deterioration of liver function. The liver was enlarged with some non-specific patchy abnormality and gross ascites. (b) Several axial sections through this liver demonstrate intrahepatic portal hypertension with recanalization of the umbilical vein arrowed. This demonstrates a diffuse process, and a transjugular liver biopsy demonstrated diffuse metastatic adenocarcinoma. The inferior vena cava (IVC) is also compressed by the rapidly enlarging liver. The patient died 2 days later.
