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Fig. 2 | Journal of Medical Case Reports

Fig. 2

From: Polycystic liver disease with lethal abdominal wall rupture: a case report

Fig. 2

Alteration of abdominal appearances, corresponding CT images, and autopsy findings of liver parenchyma and liver cysts. Liver volume was calculated using SYNAPSE VINCENT, Fujifilm 3D image analysis system (Tokyo, Japan) using a 0.5-mm thick Axial CT image. Liver area was identified in each CT slice by hand, and integration of each slice volume led to the total volume of the cystic liver. To reduce errors, we calculated the liver volume three times and plotted the average volume. A and D Abdominal appearance and corresponding CT image after partial hepatic resection with liver cyst fenestration, repair of the abdominal wall herniation, and ovariectomy at 50 years of age. B and E Abdominal appearance and corresponding CT image at 52 years of age when the patient had an abdominal herniation. C and F Abdominal appearance and corresponding CT image on last admission at 54 years of age. Note that the prominent abdominal hernia sac can be seen with multiple skin ulcers, resulting in abdominal rupture. G Gross pathology of the liver parenchyma and cyst after death. The patient’s liver was filled with cysts of various sizes, leaving only a few areas of compressed parenchyma. H Microscopic examination of liver parenchyma. Note that many small cysts are scattered in the patient’s grossly normal liver parenchyma, and neutrophil infiltrations are found possibly because of sepsis

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