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

Howley I, Gregg SC, Heffernan DS, Adams CA - J Emerg Trauma Shock (2010)

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

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

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

CT scan of the abdomen prior to the patient’s current admission demonstrating pneumobilia but no intraperitoneal free air
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Figure 0001: CT scan of the abdomen prior to the patient’s current admission demonstrating pneumobilia but no intraperitoneal free air

Mentions: The patient’s past medical history was significant for chronic pancreatitis, which was refractory to medical management. Due to her severe pain, the patient underwent a cholecystectomy with a combined Roux-en-Y longitudinal pancreaticojejunostomy and hepaticojejunostomy, 14 months prior to the current presentation. As a result of this biliary-enteric anastomosis, the patient was noted to have asymptomatic pneumobilia [Figure 1]. Additional medical/surgical history included a 30-foot fall from her rooftop, 3 months prior to the current presentation, which necessitated a splenectomy due to hemorrhagic shock.


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

Howley I, Gregg SC, Heffernan DS, Adams CA - J Emerg Trauma Shock (2010)

CT scan of the abdomen prior to the patient’s current admission demonstrating pneumobilia but no intraperitoneal free air
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2966580&req=5

Figure 0001: CT scan of the abdomen prior to the patient’s current admission demonstrating pneumobilia but no intraperitoneal free air
Mentions: The patient’s past medical history was significant for chronic pancreatitis, which was refractory to medical management. Due to her severe pain, the patient underwent a cholecystectomy with a combined Roux-en-Y longitudinal pancreaticojejunostomy and hepaticojejunostomy, 14 months prior to the current presentation. As a result of this biliary-enteric anastomosis, the patient was noted to have asymptomatic pneumobilia [Figure 1]. Additional medical/surgical history included a 30-foot fall from her rooftop, 3 months prior to the current presentation, which necessitated a splenectomy due to hemorrhagic shock.

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

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

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus