Bile pulmonary embolism-related sudden death following an abdominal firearm injury: An autopsy case report and review of literature
| Autor: | Nora Fawzy Fnon, Hamed M. Seleim, Zahraa Khalifa Sobh, Mohammed Shabana Abdel-Wahab |
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| Rok vydání: | 2021 |
| Předmět: |
Firearms
medicine.medical_specialty business.industry Hepatobiliary disease General Medicine Autopsy case Liver Laceration medicine.disease Sudden death Pathology and Forensic Medicine Pulmonary embolism Death Sudden Firearm injury Pathognomonic medicine Possible diagnosis Bile Humans Wounds Gunshot Autopsy Radiology Child Pulmonary Embolism business |
| Zdroj: | Forensic Science, Medicine and Pathology. 17:493-497 |
| ISSN: | 1556-2891 1547-769X |
| Popis: | Bile pulmonary embolism (BPE) is a rare type of non-thrombotic pulmonary embolism (NTPE). For bile emboli to pass through the bloodstream to the lungs, there must be a connection created between the biliary and the venous vessels. This article reports a fatal BPE in a 12-year-old child who died 14 days following an abdominal firearm injury. The right lobe of the liver had a yellowish-green stained lacerated track along with bile collection. Both lungs were congested with peripheral dark areas in all lobes. Microscopically, many interstitial pulmonary arterioles were occluded by bile emboli along with the presence of hemorrhagic infarcts. Other than the present case, only 21 cases of BPE were published in the literature until the present day. The history of hepatic trauma and/or hepatobiliary disease in association with pulmonary manifestations points to BPE as a possible diagnosis. However, visualization of bile emboli within the pulmonary vessels is pathognomonic for BPE. |
| Databáze: | OpenAIRE |
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