Howley Isaac, Gregg Shea C, Heffernan Daithi S, Adams Charles A
Department of Surgery, Rhode Island Hospital and the Warren Alpert School of Medicine, Brown University, Providence, RI 02903, USA.
J Emerg Trauma Shock. 2010 Oct;3(4):412-5. doi: 10.4103/0974-2700.70777.
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.
气胆主要在外科胆肠吻合术及通过内镜操作进行胆道处理后，通过计算机断层扫描（CT）观察到。虽然在病理情况下可见气胆，但术后气胆通常与发病率无关。在本文中，我们报告了一例钝性腹部创伤导致先前存在的气胆排出并引起气腹的病例。鉴于随后的剖腹手术证明无治疗效果，本报告补充了少数经手术干预无法缓解的腹腔游离气体病例。
