Pneumobilia after blunt trauma of abdominal wall caused by car crash with hepatic rupture

Elgun Samadov; Ilgar Namazov; Tarlan Mirzezadeh; Emin Bayramov; Mohsum Asgarov

doi:10.28982/josam.736126

Authors

Elgun Samadov https://orcid.org/0000-0003-0540-5667
Ilgar Namazov https://orcid.org/0000-0003-0018-7875
Tarlan Mirzezadeh https://orcid.org/0000-0001-6844-4909
Emin Bayramov https://orcid.org/0000-0002-2962-9369
Mohsum Asgarov https://orcid.org/0000-0002-6342-1529

DOI:

https://doi.org/10.28982/josam.736126

Keywords:

Pneumobilia, Hepatic rupture, Abdominal trauma, Blunt trauma

Abstract

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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