Biliary-enteric fistula: pneumobilia

Case contributed by Dr Roberto Rafael Ovalle

Presentation

Upper abdominal pain and elevation of hepatic enzymes.

Patient Data

Gender: Male
Modality: CT

Intraheptic gas, in the left lobe, peripherally located. 

Case Discussion

The differential diagnosis includes pneumobilia (usually centrally located gas) and portal venous gas (usually more peripheral). The cause of this finding was a biliary-enteric fistula.

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Case Information

rID: 7818
Case created: 14th Dec 2009
Last edited: 7th Jun 2016
Tag: stack
Inclusion in quiz mode: Included

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