Hydrops of the gallbladder is rarely seen in childhood and characterized by massive acalculous distension of the gallbladder. It is defined by the absence of calculi, bacterial infection or congenital anomalies of the biliary system. We report a seven year old girl presenting with fever, vomiting,abdominal pain, icterus in scleras, hepatomegaly 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 A infection. Abdominal ultrasonography revealed distended, hydropic gallbladder without calculous was observed.Here we report a child with acute viral acalculous cholecystitis due to hepatitis A virus infection. Keywords: Acalculous cholecystitis, Hepatitis A, Hydrops, Gallbladder ÖZSafra kesesi hidropsu, çocukluk çağında seyrek görülen ve safra kesesinin taşsız aşırı distansiyonu ile karakterizedir. Safra kesesi taşı,bakteriyel enfeksiyon veya safra sisteminin kongenital anomalilerinin yokluğu ile karakterizedir. Ateş, kusma, karın ağrısı, skleralarda ikter, hepatomegali ve sağ hipokondriyumda hassasiyet ile başvuran yedi yaşında bir kız çocuğunu sunduk. Laboratuar incelemeleri, hiperbilirubinemi ve artmış karaciğer enzim düzeylerini göstermekteydi. Bakteriyel veya parazitik enfeksiyon bulgusu yoktu. Viral hepatit serolojisi akut hepatit A enfeksiyonunu göstermekteydi. Abdominal ultrasonografi distandü, hidropik, taşsız safra kesesini göstermekteydi.Bu yazımızda, hepatit A virus enfeksiyonu nedeniyle gelişen akut viral taşsız kolesistitli yedi yaşında bir kız çocuğunu sunduk.
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