Pneumobilia after blunt trauma of abdominal wall caused by car crash with hepatic rupture
Keywords:Pneumobilia, Hepatic rupture, Abdominal trauma, Blunt trauma
Pneumobilia is the presence of air in the biliary system. It mostly indicates a connection between the biliary system and the gastrointestinal tract, although it can also occur after trauma. The best diagnostic modality of pneumobilia is computed tomography (CT). We herein present a 32-year-old male patient with pneumobilia due to hepatic rupture caused by abdominal trauma after car crash. The instability of the patient and hepatic rupture were the reasons of surgical treatment. The surgeon should know that pneumobilia and portal venous gas are easily confused. While mortality risk of pneumobilia is lower than that of portal venous gas, in such conditions the patient should be operated, because chance of cure is quite high.
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