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"Innocent" PneumobiliaReport of a Case and Review of the Literature
LCDR Stephen A. Schechner, MC, USN;
LCDR Ira D. Miller, MC, USNR;
CDR Frank E. Ehrlich, MC, USN;
CAPT Robert W. Knapp, MC, USN;
CAPT Joseph T. Mullen, MC, USN
AMA Arch Surg. 1974;108(1):118-120.
Abstract
A young woman was found to have pneumobilia during evaluation for right-upperquadrant abdominal pain. Preoperative studies and surgical exploration failed to uncover any cause for the abnormal gas, and it was still present one year postoperatively. There is a discussion of the possible causes and a review of the literature. It is concluded that cholecystectomy is indicated in this rare situation, even in the absence of cholelithiasis, to prevent the later development of ascending cholangitis.
Author Affiliations
Portsmouth, Va
From the Surgical Service, US Naval Hospital, Portsmouth, Va.
Footnotes
Accepted for publication July 27, 1973.
Read before the Fourth Annual Spring Symposium, US Naval Hospital, Boston, May 17, 1973.
The opinions or assertions contained herein
are solely those of the authors and are not to be construed as official or as reflecting the views of the Bureau of Medicine and Surgery of the Navy Department or the naval service at large.
Reprint requests to Box 634, US Naval Hospital, Portsmouth, VA 23708 (Dr. Schechner).
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