Acute Pulmonary Tumor Embolism and Right Systolic Dysfunction in a hidden Intrahepatic Cholangiocarcinoma – Case Report

Abstract Background Pulmonary tumor embolism is a rare entity that can arise from wide variety of neoplasms. It initially manifest as pulmonary with right heart failure and be refractory to thrombolytic therapy. Cholangiocarcinoma malignancy arises the epithelium biliary tree, representing 3% all gastrointestinal malignancies; being intrahepatic cholangiocarcinoma second most common liver after hepatocellular carcinoma. Case summary This case regards patient presented our center acute embolism, deep vein thrombosis unrevealing previous medical history. Imaging studies revealed an ovarian mass multiple hepatic hypodensities. Throughout hospitalization patient´s hemodynamic state worsened, eventually leading multi-organ death. Postmortem evaluation cells on arteries. Discussion pathology present failure. The diagnosis occult cancer challenging appropriate treatment for this remains unexplored subject.