Presentation
Upper abdominal pain and elevation of hepatic enzymes.
Patient Data
Age: Adult
Gender: Male
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
From the case:
Biliary-enteric fistula - pneumobilia
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/8645/annotated_viewer_json?lang=us"}
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.
Unable to process the form. Check for errors and try again.