Fig. 1

Clinical examination showed a muscular body, height 186 cm, weight 120 kg. The lung showed a sonorous percussion, vesicular breath sounds, no noise. Heart: regular rhythm, 55 bpm, RR 134/67 mmHg, first heart sound and second heart sound not flashy, no heart murmurs. No pathological examination findings for head, neck, lymph node status, pulse status. No scleral icterus. Abdominal examination showed a large abdomen, vascular abdominal markings, yellow colouring, liver palpable to lesser pelvis right, superficial palpation was painful, spleen not palpable, no kidney pain or back pain (a lateral view; b ventral view)