Pneumobilia

PneumobiliaThe abdominal x-rays show dilated small bowel loops with air fluid levels. The erect abdominal x-ray, on close examination shows air in the biliary tree. There are multiple rounded irregular densities in the mid abdomen (turned out to be calcified mesenteric lymph nodes on CT). This patient likely has a small bowel obstruction secondary to gall stone.

Emergency Medicine Kenya Foundation

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