Fatal pulmonary bile embolism following acute acalculous cholecystitis.

Journal Article (Journal Article)

A 52-year-old man died during reoperation for bleeding after the development of acute postoperative acalculous cholecystitis. While the liver was being manipulated during surgery, the pulmonary artery diastolic pressure increased suddenly, cardiac output and blood pressure decreased, and soon afterward the patient had a cardiac arrest from which he could not be resuscitated. During resuscitative efforts, the maximum partial arterial oxygen pressure achieved was only 55 mm Hg despite 100% inspired oxygen. At autopsy, bile aggregates were found within necrotic liver parenchyma, portal and central vein branches, and numerous pulmonary arterioles and capillaries. The pulmonary arterial bile most likely resulted from embolization of inspissated hepatic bile aggregates during surgical manipulation.

Full Text

Duke Authors

Cited Authors

  • Proia, AD; Fetter, BF; Woodard, BH; Stickel, DL; Meyers, WC

Published Date

  • October 1, 1986

Published In

Volume / Issue

  • 121 / 10

Start / End Page

  • 1206 - 1208

PubMed ID

  • 3767652

International Standard Serial Number (ISSN)

  • 0004-0010

Digital Object Identifier (DOI)

  • 10.1001/archsurg.1986.01400100118022


  • eng

Conference Location

  • United States