Massive hepatic necrosis with toxic liver syndrome following portal vein ligation

Figure 2 Postoperative blood tests. A: Transaminases increased from postoperative day 1, reached a peak at postoperative day 3, then returned to normal value on postoperative day 7. Serum creatinin started to increase after the peak of transaminases, as observed in the toxic liver syndrome, and decreased after hemofiltration; B: Platelets decreased regularly as from the first postoperative day. Total bilirubin increased from the first postoperative day and reached a plateau around 100 μmol/L. Prothrombin time fell rapidly to 47% at postoperative day 1 and thereafter increased progressively. ASAT: Aspartate amino transferase; ALAT: Alanine amino transferase.