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Bile pulmonary embolism: report of a case and a review of the literature



Bile pulmonary embolism: report of a case and a review of the literature



American Journal of Gastroenterology 78(12): 830-834



Bile emboli were found at autopsy in the small pulmonary arteries of a 68-year-old man with a past history of polyposis coli who had required percutaneous transhepatic drainage of his biliary tree because of an obstructing ampullary carcinoma. A communication between the biliary tract and a hepatic vein was shown to be due to the catheter. Eight previously reported cases of bile pulmonary emboli have been found. All but one had a clear history of hepatic trauma or intrahepatic abscess. Bile pulmonary embolism is a rare, occasionally fatal, complication of fistulous communication between the biliary tree and the hepatic venous system.

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Accession: 042382343

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PMID: 6650475


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