Pulmonary Fecal Embolization Complicating the Budd-Chiari Syndrome

PULMONARY embolization with material other than thrombus may occur in a variety of unusual situations.^{1 2 3 4 5 6 7 8} We have observed a patient with the Budd-Chiari syndrome, extensive portal systemic venous collaterals and ileal diverticulitis in whom pulmonary fecal emboli developed. Case Report A 42-year-old black man was admitted to The Johns Hopkins Hospital with a three-day history of fever, chills and cough. At the age of 36, sudden right-upper-quadrant pain and hepatomegaly developed, and liver biopsy revealed changes compatible with the Budd-Chiari syndrome. In the year before death, studies showed an enlarged liver with filling defects and splenomegaly on liver-spleen scan, no. No extract is available for articles shorter than 400 words.