Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2010  |  Volume : 3  |  Issue : 4  |  Page : 412-415

Peritoneal free air due to evacuation of pneumobilia in blunt abdominal trauma


Department of Surgery, Rhode Island Hospital and the Warren Alpert School of Medicine, Brown University, Providence, RI 02903, USA

Correspondence Address:
Shea C Gregg
Department of Surgery, Rhode Island Hospital and the Warren Alpert School of Medicine, Brown University, Providence, RI 02903
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.70777

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Pneumobilia is mostly observed on computed tomography (CT) following surgical biliary-enteric anastomosis and biliary manipulation through endoscopic procedures. Although pneumobilia can be seen in pathological conditions, post-surgical pneumobilia is typically not associated with morbidity. In the present article, we report a case in which blunt abdominal trauma led to the evacuation of pre-existing pneumobilia causing pneumoperitoneum. Given that the subsequent laparotomy proved to be non-therapeutic, this report adds to the few cases of intra-peritoneal free air not helped by surgical intervention.


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