Pneumobilia following blunt abdominal trauma

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• 作者：R. J. Thompson (1)
  T. Irwin (1)
  
• 关键词：Pneumobilia ; Blunt abdominal trauma ; Conservative management
• 刊名：Irish Journal of Medical Science
• 出版年：2007
• 出版时间：December 2007
• 年：2007
• 卷：176
• 期：4
• 页码：313-315
• 全文大小：112KB
• 参考文献：1. Reissner RM, Cohen JR (1994) Gallstone ileus: a review of 1001 reported cases. Am Surg 60(6):441鈥?46
  2. Harley WD, Kirkpatrick RH, Ferrucci JT Jr (1978) Gas in the bile ducts (pneumobilia) in emphysematous cholecystitis. Am J Roentgenol 131(4):661鈥?63
  3. Johnson H Jr, Sloane RE, Perlman DM (1984) Pneumobilia as the sole radiographic finding in emphysematous cholecystitis. Int Surg 69(4):365鈥?67
  4. Verschave J, Vermeylen J (1986) Pneumobilia and emphysematous cholecystitis. Acta Chir Belg 86(3):143鈥?45
  5. Ohtani Y, Tanaka Y, Tsukui M, Goto K, Moriya H, Tobita K, Sekka T, Saito Y, Makuuchi H, Tajima T, Mitomi T (1996) Acute emphysematous cholecystitis associated with pneumobilia: a case report. Tokai J Exp Clin Med 21(1):33鈥?6
  6. Kuo KK, Sheen PC, Chang SC, Chen JS, Lee KT, Cham CM (1999) Spontaneous multiple cholecystoenteric fistulas鈥攁 case report. Kaohsiung J Med Sci 15(11):674鈥?78
  7. Shimao K, Yamaue H, Nishimoto N, Terasawa H, Saigan S, Onishi H, Tanimura H, Hashimoto T (1999) Choledochoduodenal fistula at the anterior wall of the duodenal bulb: a rare complication of duodenal ulcer. Hepatogastroenterology 46(25):261鈥?64
  8. Sing RF, Garberman SF, Frankel AM, Chatzinoff M (1990) Cholecystocolic fistula: an unusual presentation and diagnosis by endoscopic retrograde cholangiopancreatography. Surg Endosc 4(1):39鈥?0 CrossRef
  9. Radin DR, Santiago EM (1986) Cholecystoduodenal fistula due to pancreatic carcinoma: CT diagnosis. J Comput Assist Tomogr 10(1):149鈥?50 CrossRef
  10. Chan FL, Man SW, Leong LL, Fan ST (1989) Evaluation of recurrent pyogenic cholangitis with CT: analysis of 50 patients. Radiology 170(1 Pt 1):165鈥?69
  11. Bautista JL, Budhraja MD, Barcia TD, Shankel SW (1988) Pneumobilia associated with small-bowel obstruction. JAMA 260(13):1930鈥?931 CrossRef
  12. Nagaraj N, Frank C, Gagliardi M, Adler DG (2006) Small-intestinal B-cell lymphoma manifesting as pneumobilia secondary to involvement of the major duodenal papilla. Gastrointest Endosc 63(2):326鈥?27 CrossRef
  13. Broadman SA (1971) Incompetence of the sphincter of Oddi: an uncommon cause of pneumobilia: report of a case. J Am Osteopath Assoc 70:565鈥?69
  14. Shariatsadeh AN, Bolivar JC (1973) Transient incompetence of the sphincter of Oddi with pneumobilia: a case report. Am Surg 39:406鈥?09
  15. Gering SA, Foster MA, Harnisch MC, McNeil JJ (2001) Traumatic pneumobilia: case report. J Trauma 51(2):391鈥?94 CrossRef
  16. Ladurner R, Kotsianos D, Mutschler W, Mussack T (2005) Traumatic pneumobilia after cardiopulmonary resuscitation. Eur J Med Res 10(11):495鈥?97
  17. Barnes SL, Badrudduja M, Bernard AC, Boulanger BR (2006) Pneumobilia after blunt trauma: a self-limited condition? J Trauma 60(3):637鈥?39
  
• 作者单位：R. J. Thompson (1)
  T. Irwin (1)
  
  1. Colorectal Surgery Unit, Royal Victoria Hospital, Belfast, BT12 6BA, Northern Ireland
  

文摘

Background Pneumobilia is the presence of gas within the biliary tree. It is an important diagnostic sign in spontaneous biliary enteric fistulae, classically in gallstone ileus. There are a number of other causes including surgically created biliary enteric fistula, instrumentation of the bile duct at endoscopic retrograde cholangiopancreatography, emphysematous cholecystitis and pyogenic cholangitis. Pneumobilia has also been reported following blunt abdominal trauma. The significance of isolated pneumobilia following abdominal trauma has not been conclusively established. Methods We present a patient with traumatic pneumobilia following blunt trauma to the abdomen which was managed conservatively. Conclusion Pneumobilia following blunt abdominal trauma is not an absolute indication for laparotomy.