Acute Rejection Grading

Rejection
Figure 3. This is an example of severe bile duct damage, a change that was present in most of the portal triads in the failed allograft shown in Figure 1. In this example, there are inflammatory cells inside the basement membrane, reactive changes with nuclear pleomorphism and lumenal disruption. In the Banff schema, this lesion would receive a score of "3" for bile duct damage.


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