HAV‐induced acalculous cholecystitis: A case report and literature review

Abstract

Hepatitis A virus (HAV) has some life-threatening extrahepatic complications, such as acute acalculous cholecystitis (AAC). We present HAV-induced AAC in a young female, based on clinical, laboratory, and imaging findings, and conduct a literature review. The patient became irritable, which progressed to lethargy, as well as a significant decline in liver function, indicating acute liver failure (ALF).She was immediately managed in the intensive care unit with close airway and hemodynamic monitoring after being diagnosed with ALF (ICU). The patient's condition was improving, despite only close monitoring and supportive treatment with ursodeoxycholic acid (UDCA) and N-acetyl cysteine (NAC).

Hepatitis A virus induced acute acalculous cholecystitis diagnosed postoperatively: Case report

“…While most cases of HAV are asymptomatic, some present with diarrhea, abdominal pain, fever, anorexia, nausea, and vomiting [ 4 ]. Nevertheless, HAV causing and presenting as symptomatic AAC is very rare and only 29 reports have linked them together [ 5 , 6 ]. Here, we present a case of HAV induced AAC which presented to our university hospital and was diagnosed postoperatively.…”