Acute Acalculous Cholecystitis Associated with Hepatitis A Viral Infection
Most hepatitis A infections are acute, self-limiting, and asymptomatic. In rare instances, an extrahepatic complication, like acute cholecystitis, may emerge. Acute cholecystitis is inflammation of the gallbladder wall and is classified into calculous and acalculous. About 90%-95% of cases are broug...
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| Format: | Book |
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Wolters Kluwer - Medknow Publications,
2023-06-01T00:00:00Z.
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| Summary: | Most hepatitis A infections are acute, self-limiting, and asymptomatic. In rare instances, an extrahepatic complication, like acute cholecystitis, may emerge. Acute cholecystitis is inflammation of the gallbladder wall and is classified into calculous and acalculous. About 90%-95% of cases are brought on by bile duct stones. Acute acalculous cholecystitis (AAC) can be brought on by the structural and functional abnormalities in the gallbladder brought on by viral hepatitis infection. Here, we present a 20-year-old female patient with AAC associated with hepatitis A infection. The patient came with acute epigastric pain, fever, and elevated liver function test. Computed tomography scan examination showed the results of diffuse thickening of the gallbladder wall (8 mm) and pericholecystic fluid without any calculous found, and the serology for viral hepatitis suggested acute hepatitis A infection with positive anti-hepatitis A virus (HAV) immunoglobulin M. Gallbladder distention, thickening of the gallbladder wall, the absence of an acoustic shadow or biliary sludge, perivesical liquid buildup, and the absence of dilatation of the intra- and extrahepatic bile ducts are among the ultrasonographic criteria for diagnosing AAC. Hepatitis A testing should be considered in patients suspected of having acalculous cholecystitis of an undefined etiology in markedly deranged liver function tests in adult patients. |
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| Item Description: | 2620-8636 10.4103/bhsj.bhsj_38_22 |