Causes of Air in the Biliary tree (Pneumobilia)

Remember the causes of air in the biliary tree / Pneumobilia using the mnemonic PERSEPOLIS.

PERSEPOLIS

  • Percutaneous transhepatic cholangiography
  • Emphysematous cholecystitis
  • Retrograde cholangiopancreatography
  • Surgery
  • Enteric Fistula(due to gallstones or peptic ulcer disease)
  • Pancreatitis
  • Other(e.g. Congenital anomaly)
  • Liver abscess
  • Incompetent Sphincter of Oddi


Alternatively; you can remember the mnemonic SuPER GaS to learn the causes of Pneumobilia.

SUPER GAS

  • Surgery (biliary-enteric)
  • Pancreatitis (-chronic)
  • Emphysematous cholecystitis
  • Retrograde cholangiopancreatography
  • Gallstone ileus
  • Sphincterotomy

Hope that mnemonic helped. Got a better mnemonic for the same? Let us know in the comments below.
Also check out these medical mnemonics

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