"multi-vehicle crash," 1929, from verbal phrase pile up "to heap up" (c. 1400), which is attested from 1849 as "to accumulate," 1899 as "to wreck in a heap" (see pile (v.)).
pilcrow
pile
pileated
pile-driver
piles
pile-up
pilfer
pilferage
pilgrim
pilgrimage
Pilipino