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January 1974

"Innocent" PneumobiliaReport of a Case and Review of the Literature

Arch Surg. 1974;108(1):118-120. doi:10.1001/archsurg.1974.01350250104027

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.