Resumen

CHAVEZ-SANCHEZ, Siomara Aransuzú et al. Pneumobilia, pneumoperitoneum and pneumowirsung of traumatic etiology: Case report and review of the literature. Rev. gastroenterol. Perú [online]. 2023, vol.43, n.1, pp.60-64.  Epub 11-Abr-2023. ISSN 1022-5129.  http://dx.doi.org/10.47892/rgp.2023.431.1402.

Pneumobilia is a phenomenon associated with the presence of a biliary-enteric fistula or manipulation of the bile duct during procedures or surgical interventions that cause dysfunction of the sphincter of Oddi. A known, but infrequently reported event, is the increase in intraabdominal pressure after closed abdominal trauma, which causes pneumobilia due to a mechanism of retrograde air leakage towards the bile duct. Depending on the general compromise of each patient, the prognosis can vary from a benign condition that only requires conservative management, to being life threatening. We present the case of a 75-year-old male patient who, after suffering a closed thoraco-abdominal trauma, presented with rib fracture and, in addition, gallbladder wall rupture, pneumoperitoneum, pneumobilia, and pneumowirsung, having a favorable clinical course after receiving conservative management.

Palabras clave : Biliary fistula; Sphincter of Oddi; Pneumoperitoneum.

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