On dissection of the superficial hilus, thrombosis of the portal vein is evident. The hepatic duct is grossly free of obstruction. A single 2.0 cm. The cut surface of the liver consists of bile-stained, soft to friable parenchyma with occlusion of the arterial and venous branches. The bile ducts are grossly patent, however, and deeply hemorrhagic.
Representative tissue is frozen in bulk and stocked in formalin.
Gross photos are taken and sections are submitted. It consists of a 105 gram portion of tan and hemorrhagic pancreas with attached fat and soft tissue, 10.0 x 7.0 x 2.5 cm. Gray-yellow fat necrosis is evident on the exterior of the pancreas along with areas of cautery and thrombosis. On serial sectioning, the splenic artery and vein are almost totally occluded by dark thrombus. The pancreas resection margin is tan, irregular, but grossly viable.