Abstract:
:Bile pulmonary emboli were present at autopsy in a seventy-year-old woman who had undergone percutaneous transhepatic cholangiodrainage for pancreatic carcinoma obstructing the common bile duct. The patient also developed hemobilia following the drainage. In spite of emergency surgery, she died on the third day after the operation. Microscopic findings of the lungs at autopsy disclosed numerous bile emboli in the smaller arteries, arterioles, and capillaries. Review of the literature showed 13 cases of bile pulmonary embolism, 10 of which had an obvious history of marked jaundice and trauma to the liver, like the present case. Bile enters the systemic circulation through a fistulous communication made by trauma between the biliary tree and the hepatic vein.
journal_name
Angiologyjournal_title
Angiologyauthors
Kihira T,Konishi T,Shiraishi T,Yatani R,Nakano Tdoi
10.1177/000331979304400909subject
Has Abstractpub_date
1993-09-01 00:00:00pages
725-30issue
9eissn
0003-3197issn
1940-1574journal_volume
44pub_type
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