Document Detail

Spontaneous duodenal-caval fistula with embolization of intestinal contents.
MedLine Citation:
PMID:  9781659     Owner:  NLM     Status:  MEDLINE    
We describe the second example of a duodenal-caval fistula in a patient with peptic ulcer disease. This condition was complicated by embolization of intestinal contents to the lung, with abundant intravascular mucin. This is the first histological documentation of intravascular mucin apart from amniotic fluid embolism. It is well known that mucin may activate coagulation. We propose that intravascular mucin activated the coagulation cascade in our patient, causing disseminated intravascular coagulation and adult respiratory distress syndrome.
P V Cyr; H Shuhaibar; J M Kay
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Human pathology     Volume:  29     ISSN:  0046-8177     ISO Abbreviation:  Hum. Pathol.     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1998-11-05     Completed Date:  1998-11-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9421547     Medline TA:  Hum Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1165-6     Citation Subset:  IM    
Department of Laboratory Medicine, St. Joseph's Hospital, McMaster University, Hamilton, Ontario, Canada.
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MeSH Terms
Arteriovenous Fistula / etiology*,  pathology
Disseminated Intravascular Coagulation / etiology,  pathology
Duodenal Diseases / etiology*,  pathology
Gastrointestinal Contents* / chemistry
Intestinal Fistula / etiology*,  pathology
Mucins / analysis
Peptic Ulcer / complications*,  pathology
Pulmonary Embolism / etiology*,  pathology
Respiratory Distress Syndrome, Adult / etiology,  pathology
Vena Cava, Inferior*
Reg. No./Substance:

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