Publication: A Rare Association of Hydrops of Gall Bladder with Hepatitis E Infection
Date
2011
Authors
Article Type
Case Report
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 222 - 223
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Gall bladder distension with acute viral acalculous cholecystitis is an extremely rare event especially with Hepatitis E infection in paediatric cases with a high incidence of perforation, gallbladder necrosis and mortality. We report a four year old male child presenting with fever, vomiting, pain abdomen, mild hepatosplenomegaly and tenderness in right hypochondrium. Laboratory investigations revealed hyperbilirubinemia and elevated liver enzymes, but there was no evidence of bacterial or parasitic infection. Serology for viral hepatitis suggested acute Hepatitis E infection. Ultrasonographically distended inflamed gallbladder without calculous was observed. Finally acute acalculous cholecystitis due to Hepatitis E virus was diagnosed and the child responded to the conservative management.
Description
R Sinha
Graded Specialist in Paediatrics, Army Medical Corps, 167 MH C/O 56APO
V Negi
Neonatology, Army Medical Corps, 167 MH C/O 56APO
MPS Sawhney
Comdt 167 MH, C/O 56APO
J Debnath
Radiology, Army Medical Corps, 167 MH C/O 56APO
Keywords
Acalculous cholecystitis, Hepatitis E, Pericholecystic fluid, Gallbladder thickening
Identifier
https://doi.org/10.3126/jnps.v31i3.5362