An uncommon cause of pneumobilia: blunt abdominal trauma

Pneumobilia is described as occurrence of free air in the gallbladder or biliary tree. There are a number of causes of pneumobilia, including surgically created biliary enteric fistula, instrumentation of the bile duct on endoscopic retrograde cholangiopancreatography, emphysematous cholecystitis, and pyogenic cholangitis. Pneumobilia has also occurred following blunt abdominal trauma, but to date, no more than five cases of such injury have been reported in the literature. In this report, we present a patient struck by a motor vehicle with traumatic pneumobilia following blunt trauma to the abdomen, which was managed conservatively.

Nadir bir pnömobili nedeni: Künt karýn travmasý

Pnömobili safra kesesinde veya safra yollarýnda hava oluþmasý olarak tanýmlanýr. Pnömobilinin birçok nedeni vardýr ve bunlar arasýnda cerrahi olarak oluþturulmuþ biliyoenterik fistüller, endoskopik retrograt kolanjiopankreatografide safra yollarýna girilmesi, anfizamatöz kolesistit ve piyojenik kolanjit yer almaktadýr. Künt karýn travmasý sonrasýnda da pnömobili geliþebileceði bildirilmiþtir. Fakat bu sayý günümüze kadar beþ olguyu geçmemektedir. Bu yazýda, motorlu taþýt çarpmasý sonucu oluþan künt karýn travmasýna baðlý pnömobili geliþen ve medikal tedavi uygulanan olgu sunuldu.