Air in the Biliary Tree

Air in the biliary tree may be secondary to endoscopic retrograde cholangiopancreatography (ERCP) and sphincterotomy, biliary surgery or a biliary fistula.

Click on the x-rays to enlarge.

Fig 1: Chest x-ray of air in the biliary tree (arrow) Fig 2: Abdominal x-ray of air in the biliary tree, after ERCP (arrow)