Kratom induced severe cholestatic liver injury histologically mimicking primary biliary cholangitis: A case report

Figure 1 The abdominal ultrasound. A: Diffuse fatty infiltration of liver; B: Normal common bile duct and intrahepatic biliary ducts (orange arrows) in magnetic resonance cholangiopancreatography 3D image.

Figure 2 Histopathological findings. A: Centrilobular areas showed well defined cholestasis; B and C: Portal tracts showed moderate chronic inflammation and brisk lymphocytic-predominant bile duct injury; D: Background liver showed steatohepatitis which was felt to most likely be due to underlying obesity-related non-alcoholic fatty liver disease.