Portal fibrosis and inflammation of the blood vessels arond portal triad
, can be hydropic liver cells and even cause cell death is induced .
At the time of exploration, juxtahepatic venous trauma should be suspected when occlusion of the portal triad
(the Pringle maneuver) fails to stop bleeding from the liver parenchyma or from below a damaged hepatic lobe.
Hemorrhage tends to be located near the portal triads
, while hematomas can arise from anywhere in the parenchyma.