Abstract:

Pneumobilia is the accumulation of gas in the biliary tract. A 72-year-old woman was brought tour emergency department with complaints of abdominal pain and general condition. The patient, who described pain in the right lumbar region, had mild distension and right hypochondriac tenderness during the abdominal examination. In contrast-free abdominal tomography, one hypodense lesion was observed at the right and left lobe junction level of the liver. There was an air view in the main bile duct and intra-hepatic bile ducts. The patient was admitted to the general surgery intensive care unit. Liver abscess was found as a result of abdominal imaging and liver fine needle aspiration biopsy performed. After a 2-week intensive care follow-up the patient was discharged with oral antibiotics due to the complete absence of regression and general condition of the patient. Pneumobilia is a rare condition with a high mortality and liver abscess should also be considered among its causes.

Keywords: