Acute acalculous cholecystitis revealing hepatitis A virus infection in children

Arroud, Mounir; Benmiloud, Sara; Oudghiri, Bouchra; Afifi, My Abderrahmane; Hida, M.; Bouabdallah, Youssef

doi:10.4103/1319-3767.56098

Cited by 19 publications

(10 citation statements)

References 3 publications

(4 reference statements)

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“…Associated complications such as gallbladder perforation and deterioration of abdominal signs have been suggested as indications for surgery [16]. Eleven of fifteen patients that had appropriate information for analysis in previous reports were managed conservatively [8, 11–13, 15, 16, 18–20] and others with surgical intervention [2, 9, 10, 14]. …”

Section: Discussionmentioning

confidence: 99%

Acute Acalculous Cholecystitis due to Viral Hepatitis A

Kaya

Eşkazan

et al. 2013

Case Reports in Infectious Diseases

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Inflammation of the gallbladder without evidence of calculi is known as acute acalculous cholecystitis (AAC). AAC is frequently associated with gangrene, perforation, and empyema. Due to these associated complications, AAC can be associated with high morbidity and mortality. Medical or surgical treatments can be chosen according to the general condition of the patient, underlying disease and agent. Particularly in acute acalculous cholecystitis cases, early diagnosis and early medical treatment have a positive effect on the patient and protect them from surgical trauma. ACC is a rare complication of acute viral hepatitis A. Herein, we present an adult patient of acalculous cholecystitis due to acute viral hepatitis A. She responded to the conservative management.

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Section: Discussionmentioning

confidence: 99%

Acute Acalculous Cholecystitis due to Viral Hepatitis A

Kaya

Eşkazan

et al. 2013

Case Reports in Infectious Diseases

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“…[ 7 12 15 ] For acalculous cholecystitis mechanisms suggested include hypoalbuminemia, extension of hepatic inflammation, or direct viral invasion. [ 19 ] For ascites, similarly, the possible mechanisms are obstruction of veins or lymphatics and hypoalbuminemia. [ 7 12 15 ]…”

Section: Discussionmentioning

confidence: 99%

A rare case of childhood Hepatitis A infection with pleural effusion, acalculous cholecystitis, and ascites

Dalai

Malhotra

Gupta

et al. 2018

J Family Med Prim Care

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Hepatitis A is common among children of developing nations. Young children with Hepatitis A infection usually have a mild form of the disease. Serious manifestations like pleural effusion and acalculous cholecystitis are very rare in Hepatitis A infection in young children. There have been some reports of these manifestations of childhood Hepatitis A occurring in isolation but for these to co-exist, is extremely rare. In this article a young child with Hepatitis A infection who had all these three manifestations of pleural effusion, acalculous cholecystitis and ascites together, is reported.

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“…Nas causas infecciosas, aparecem como agentes de colecistite a leptospirose; malaria 12 ; salmonelose, que apresentando tropismo pela vesicular biliar 13 ; hepatite A, B e C, sendo mais comum seu aparecimento nos quadros de hepatite A e B 14,15 ; dengue, que apresenta CAA em torno de 10% dos casos 16 ; mononucleose infecciosa, associado a crianças do sexo feminino, com evolução benigna 4 ; dentre outros agentes etiológicos infecciosos. Nosso paciente não foi investigado da parte infecto-contagiosa no momento da admissão, porém é importante ressaltar o papel das infecções subagudas ou latentes como desencadeadoras de CAA, a exemplo dos quadros de salmonelosa assintomáticos ou gastroenterites leves, que podem cursar com colestite 17 .…”

Section: Discussionunclassified

Colecistite aguda alitiásica em paciente pediátrico previamente hígido: relato de caso

Schio

França²,

Guimarães³

et al. 2016

Rev. Med. UFPR

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A colecistite acalculosa é uma inflamação da parede da vesicular biliar sem a presença de calculos, sendo responsável por 4 a 10% por cento dos casos de colecistite aguda. Objetivo: relatar um caso de CAA no serviço do HPP. Métodos: estudo restrospectivo de relato de caso. Discussão: Paciente de 13 anos, masculino, previamente hígido, admitido no HPP com quadro de dor em flanco direito, associada a náuseas, inapetência e diarréia líquida há 1 semana, com melhora parcial ao uso de analgésicos comuns (paracetamol e dipirona), porém com recorrência da dor. Realizou ultrassonografia de abdome total que mostrou colecistite aguda alitiásica e exames laboratorias com sinais inflamatórios. Paciente foi internado para tratamento conservador com antibioticoterapia. Apresentou resolução do quadro após 1 semana de tratamento, tendo alta hospitalar e sendo encaminhado para investigação ambulatorial. Conclusão: A CAA é uma patologia rara, de baixa prevalência na população geral e principalmente pediátrica. Deve-se suspeitar especialmente em pacientes críticos e hospitalizados por longos períodos, contudo, casos em pacientes previamente hígidos podem ser não tão infrequentes.

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Acute acalculous cholecystitis revealing hepatitis A virus infection in children

Cited by 19 publications

References 3 publications

Acute Acalculous Cholecystitis due to Viral Hepatitis A

Acute Acalculous Cholecystitis due to Viral Hepatitis A

A rare case of childhood Hepatitis A infection with pleural effusion, acalculous cholecystitis, and ascites

Colecistite aguda alitiásica em paciente pediátrico previamente hígido: relato de caso

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