Figure 4.
A biliary vascular-fistula can also manifest as bile in the lumen of
blood vessels. In this photomicrograph, bile concretions, which are surrounded
by foreign-body type giant cells, are seen within the lumen of the portal
vein(arrow). This often results in serum bilirubin levels that are
supraphysiological, in the range of more than 60-80 mg/dl.
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TPIS administration at the UPMC.