Erschienen in:
23.06.2021 | Case Report
Bile pulmonary embolism-related sudden death following an abdominal firearm injury: An autopsy case report and review of literature
verfasst von:
Nora Fawzy Fnon, Hamed Mahmoud Seleim, Mohammed Shabana Abdel-wahab, Zahraa Khalifa Sobh
Erschienen in:
Forensic Science, Medicine and Pathology
|
Ausgabe 3/2021
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Abstract
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.