Open AccessEmphysematous Cholecystitis: A Rare Complication of Hepatitis A Virus Infection
Author(s) -
Ahmet Karakaş,
Cumhur Artuk,
Ömer Çoşkun,
Hanefi Cem Gül,
Gürkan Mert,
Can Polat Eyigün
Publication year - 2015
Publication title -
disease and molecular medicine
Language(s) - English
Resource type - Journals
ISSN - 2147-6748
DOI - 10.5455/dmm.20150217101206
Subject(s) - medicine , complication , cholecystitis , virology , virus , gastroenterology , surgery , gallbladder
Hepatitis A virus (HAV) causes an acute hepatitis associated with significant elevatation in liver enzymes. The liver is main target of HAV and extrahepatic manifestations are scarce. The diagnosis of acute HAV infection is made by the detection of anti-HAV IgM antibody in patients with the typical clinical presentation.. Here in, we present a 22-year old male presented with malaise, fever, nause, and intensive stomach ache. In physical examination, the patient had fever, jaundice, and hepatomegaly. Laboratory tests resulted in elevated liver enzymes. Abdominal ultrasonography demonstrated thickening of the gallbladder wall, and intramural air. As the patient's symptoms failed to regress in follow up laparoscopic cholecystectomy was performed. To sum up, HAV infection can be seen in all age groups, in developing countries, such as our country. It must be kept in mind that, although very rarely, HAV infections may exhibit extrahepatic complications. [Dis Mol Med 2015; 3(1.000): 5-7