On postoperative day (POD) 23, the patient suddenly developed severe acidemia (arterial pH 7.139), oliguria, markedly elevated hepatic enzymes (aspartate aminotransferase (AST) 7,994 IU/L, alanine aminotransferase (ALT) 3,960 IU/L), and coagulopathy (prothrombin time-international normalized ratio (PT-INR) 2.33) (Figure 2). Here, GPT is linked to blood coagulation disease.