Pneumobilia

Case contributed by Dr Khalid Alhusseiny

Presentation

Pre-operative evaluation with history of biliary stones and cholecystectomy.

Patient Data

Age: 30 years.
Gender: Female
X-ray

Air density is seen outlining the central biliary tree at the hepatic hilum and extending transversely in the epigastric region along the left hepatic lobe.

CT

Air density along the dilated biliary tree.

Case Discussion

The patient had a history of biliary dilatation with multiple biliary and gall bladders tones, for which she underwent cholecystectomy and follow-up for the persistent biliary dilatation. This chest X-ray was a part of her pre-operative evaluation for ERCP.

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