Acute acalculous cholecystitis in a child with hepatitis A infection
Acute acalculous cholecystitis (AAC) is more common than acute calculus cholecystitis in children, especially critically ill patients. A rare cause of AAC is hepatitis A virus infection. Here, we report the case of a 5-year-old girl who presented with abdominal pain, nausea, vomiting, tenderness of...
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| Format: | Book |
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Elsevier,
2021-03-01T00:00:00Z.
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| Summary: | Acute acalculous cholecystitis (AAC) is more common than acute calculus cholecystitis in children, especially critically ill patients. A rare cause of AAC is hepatitis A virus infection. Here, we report the case of a 5-year-old girl who presented with abdominal pain, nausea, vomiting, tenderness of the right upper quadrant of the abdomen and positive Murphy's sign. Laboratory results showed elevated liver enzymes, positive hepatitis A IgM titre, and direct hyperbilirubinemia. Radiological tests showed all signs of AAC including increased gallbladder wall thickening, pericholecystic fluid, and absence of stones. The diagnosis of hepatitis A-induced AAC was confirmed by clinical evaluation, laboratory results, and radiology. The patient was treated successfully by conservative management. |
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| Item Description: | 2213-5766 10.1016/j.epsc.2020.101778 |