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The causes of pneumobilia include an incompetent Sphincter of Oddi (e.g. post sphincterotomy, or following passage of a gallstone), gallstone ileus, trauma, a duodenal ulcer perforating into the common bile duct, and secondary to surgery (e.g. cholecystoenterostomy).
A UCLA Health answered. Pneumococcus, a type of bacteria, is the leading cause of pneumonia. Of the more than 40,000 deaths caused by these infections each year, 80% are in people over age 65. Consequently, they should receive the pneumonia vaccine, called Pneumovax, as a preventive measure.